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� � <br /> I <br /> � ♦ <br /> Date 1/19/87 <br /> PubLt Wor��Permif� _j��3�¢G <br /> AppliCatiOn Fo� BiaA-Deo�.• __ <br /> PUBLIC WORKS PERMIT PueTotelFeeFee = , <br /> Lesa Aool Fee Paia f <br /> Pflflf Of Ty(JQ OfllY eaianceoue f <br /> Nill Street lnveatments Y. O. Box 958 Everett, WA 98206 259-9191 <br /> Owner MaiNng Adtlress Cdy Zip Phone <br /> Newland Conatruct[on Co. , Inc. Y. O. Box 958 Everett WA 98206 259 9191 � <br /> Applicant MeJm{i Address CitY Zip Phone I <br /> oencr+be aroPoaed work _ New Medical Office Buildinv � <br /> � <br /> W �/ors-�:���.c <br /> Pioject Addreea(if known) 8tff-Paeffie: Everett. Washington _ � � <br /> Attach four(4)copies ot plens for proposed work•Draw to scale and note the following as applicablc � � � <br /> • Property Linea • Centerline of atreat � # <br /> • Outline anti dimensions ol all existing and • Indicate North <br /> propoud structuree on the lot ` <br /> • Show any proposed grading chenges � <br /> • ERietinq end proposed utilities • Show measuraments � <br /> DO IJOT WRITE BELOW THIS LINE � � <br /> PEHMIT CONDITIONS <br /> 1. All calls for inapectlon shell b>me�ie 24 hrs. in advance•phone 259•8815. � <br /> 2. All work ahall be pertormed in eccordance with this permit and cw�rent City of Evereti Design and Consiroction � � <br /> Stendards end SpecHications. <br /> 3. Call Locetion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•SOO•424•SSSb. � � <br /> �. /J-�v- ,������,o�u o 4�a� Z-/�- 87 ��.�e� j <br /> S�'-/) O t <br /> ~ i <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownr.r/applicant hereby aBrees to hold anA save harm• <br /> less the City of Everett irom any anA all claims lor damages, costs, <br /> -�_� � expenses, or causes of action that may arise because of installation <br /> . r / o� � � and reaintenance of the improvement or other righPof-way use hereto <br /> A ved tor Co r n � applied lor and lurther agrees to remove same upon notice Irom the <br /> i <br /> i �e City and to replace public property damaged Ihereby. <br /> io-o? -f � � ( <br /> 2-/9-�7� <br /> FINAL INSP CTION Date �`�--�� 1/14/87 <br /> Approved as Constructed Signature of Applicant - Date <br /> everett PUBIIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE aTARTED WI7H!N <br /> � 3200CedarStreet 780 DAVS OF DATE PERMIT IS tSSUED AND TNEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THI:i PERMIT MAY BE <br /> Phone: 259�8815 CANCE�LEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />