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TYPE OR PRINT ONLY <br />ApPlitation Fa <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPAR'TMENT <br />3200 Ceaar itreet <br />Everett, WA 98201 259-BBty,o ,1 � � <br />TO POSTINu �'_____-- <br />/ <br />Date 9!"�97 <br />Public Works Permit N <br />Building Parmit N 56423 j/ _ <br />/OG, !U <br />Public Works Fee S <br />INTRACORP 2505 2ND AVE fl300 SEA'LTLE 98121 625-9226 <br />Owner Mailing Address City Zip Phone <br />TENANT: KING EXTR <br />AppliWnt <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />CONTACT: ED MINSNILL <br />CONSTRUCT NE MANUFACTURING BUILDING <br />Zip <br />Anacii four (4) �:opies of plans for proposed work - Draw to scole and note the tollowing if applicable: <br />•Propeny Lines 'Outline and dimensions of all ezisting and proposed structures on the lot •Existing and proposed utilitios <br />•Centerline of street •Indicate North 5how eny proposed greding changes 'Show measurements <br />PEflMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Desigr :nd <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you di9. TOLL FRE� NUMBER 1-800-424-'S666. <br />�. p..�►- �,-���,� ��t� <br />/o � �T 97 <br />10-30-97 <br />N <br />UTHEF <br />RW/kVW <br />f W/IHSF <br />TOTAL <br />1^c:01FM <br />97336 <br />668.42 <br />673.56 <br />42U9.73 <br />5551.71 <br />A Of1274C <br />� <br />O <br />� <br />N <br />� <br />a <br />CFiEK 5551.71 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undsrsi�:�ed ownoi�applicam hereby agrees to hold and aave harmless <br />the City of Everetl Irom any and all claims for demapes, costs, ezpenses, ur <br />causes of action that may arise because of installatbn and maintenance of <br />the improvement or other right-of-way use hereto applied fa and fuAl�er agrees <br />to remove same upon notice fmm the City and to replace public pmperty <br />damaged thereby. <br />C�� �0 S� <br />Signa ure of Applican �, �� Date <br />�t <br />WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITH�N 180 DAYS OF OATE PERMIT IS ISSUED ANC THEREAFlER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS WRATION. <br />