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�. .� <br /> D$t@ PUDGc Wotlu PumO• <br /> Applicatlon For aap.o.vi• <br /> PUBLIC WORKS PERMIT ���KW��.F„ <br /> . Tot�l Fa� _ <br /> lo�Appl F��P�iO a <br /> Print or Type Only e,�.M.o�. s <br /> , Plan Check No: C 42356 SEPA <br /> I Applicat.Date: 10/13/93 <br /> �� Owner 3ob Addreee: 31b5 pINE ST <br /> Owner: SOUND PROPERTY Phone <br /> Tenant: WEST COAST HOTfiLS • <br /> Deec�ofaWorkt �STAURANT <br /> Applicant T.I. — RESTAURANT Phone <br /> Describe Proposed Work _ OFFICS SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_�_ gy <br /> Pro�ect Address(if known) � <br /> Attach lour(4)copiea ot plena for propoaed work• Draw to scele end note the(ollowing as appllcable: � <br /> • Property linea • Centerline of atreet � <br /> • Oulline and dimensiona o(ell ezistinp and • Indicate Norlh <br /> proposed structurea on the lot • Show any proposed g�ading changes <br /> I • Ezieting and proponed utilities • Show measurements � <br /> I <br /> � DO NOT WRITE BELOW THIS LINE <br /> � PERMITCONDITIONS O <br /> 1 1.All ulla for inepeetlon ahall be made 24 hra In edvence-phone 259�8810. � <br /> j� 2.All work ehall be pertormed In accordance with thie permit end current City of Everett Design end Conatructlon <br /> Stendarde and Specificatlona <br /> � 3.Call Locatlon Underpround Service 48 hrs,before you dig TOLL FREE NUMBER 1-800-424•5555. � <br /> i <br /> 1 O <br /> , PUB y►O WORKS p � <br /> � ERA11T � <br /> BY ,REg,U1RED <br /> {f� _ <br /> OATE G'��_Y3 O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownei/applicant hereby eprees to hold and save harm• <br /> less the City of Everett from any and all cleims lor damages, costs, <br /> expenses, or ceuses of actlon that may ariae because of tnstalletion <br /> and mainlenance of lhe improvement or other right•of•way use hereto <br /> applied lor and turiher agrees to remove same upon nolice from the <br /> � Approved for Constructfon Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> ApDroved as Constructed Signeture of Applicant Date <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 1B0 DAYS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS T� <br /> Everelt,WA98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY F <br /> Phone:259-8810 CANCEILED BY THE CITY UPON ANY STOPPAGE pF WORK ON THi <br /> PROJECT OVER 90 DAYS DURATION. <br />