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K-2 <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />cation For <br />PUBLIC VC;RKS PERMIT <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />;i200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Date 1 _ <br />Public Works Permit N <br />Building Permit If _ <br />Public Works Fee $ _ <br />Plan check No: B 55780 SEPA <br />Applicat.Date: 06/27/97 <br />Job Addre: 7000 HARDESON RD <br />Owner: COMMUNITY TRANSIT <br />Tenant: HAZARDOUS MATERIAL <br />Proposed Use: HAZARDOUS STORAGE <br />Desc. of Work: <br />HAZARDOUS MATERIAL STORAGE BLDG <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DA'"E_/_/_ BY <br />Phone <br />Phone <br />Attach four (4) copies of plans for pror�osed work - Draw to scale and note the following if applicable: <br />"Property Lines "Outline and d,mensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North 'Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in ad rance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Und,arground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Approved for Construction Date <br />as Constructed <br />W <br />ca <br />O <br />z <br />O <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />AUTHORIZED BY THIS PERMIT MUST BE STAR-ED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />ETION. THIS PEPMIT MAY BE CANCELLED BY' -HE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVEP 90 DAYS DURATION. <br />