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Hn� <br /> �� <br /> A � x <br /> 9Hln ,- � <br /> � <br /> �-3� � JunE 13 1990 PuOLc WorU Feimil• 9v - yo2 <br /> K �7 Date ' em,.o�o�.• 90/29841 <br /> O x O `" Appllcalion For <br /> '�J H 'i1 �.� <br /> �'HMF� PUBLIC WORKS PERMIT PuOLCWOrkSfea S <br /> Tatai iee <br /> � �i �a. r� LessApDl.FeePa�d $ <br /> HC � <br /> O O 4� �-� r� Ba�ancc�ue $� <br /> O t [�U` � <br /> �n �y Print Of Type On1Y� r-� o� .S vi a ��/�y c�� <br /> H lTl O ., r� r� t— �t� o <br /> /�y � , l'T N Q]f.l �-i <br /> M V� � ' � <br /> A H� Ted Brose o w �� n.� por orchard 98366 871-4547 <br /> 253� Mtn V' <br /> r �..�y Owner � �^ �'� �' `-^.Mpi}In�Address Cuy Lp Phone <br /> rn o <br /> ni n r " ::. �- i,i <br /> gy . � � _� � : z <br /> H «, � �, �,. .. . � <br /> o C(n Poe Coh3t. 3207 C" St. NE. Auburn 98Q02 833-2900 <br /> � ti� r Applican! N.ailing Address City 2ip Phone <br /> HVi <br /> H O Cn NEw warehouse <br /> Describe Proposed Work <br /> .-;��� W <br /> Project Address lif known) �� Paine St. � <br /> Attach lour(4)coPies oi plans lor proposed work-Draw to scale and�nte the tollowing as applicable: �� <br /> • Pwperty L��es • Centetline of streel ♦^ <br /> • Outlme and dimensions of all eaisting and • Indicale North V� <br /> proposed struclures on the lot • Show any proposed grading changes <br /> • Ezisting and proposed utilities • SYow measurements /M <br /> W <br /> DO NOT VJRITE BELOW THIS LINE O <br /> ' 1 PERMITCONDITIONS <br /> ' ' 1.AII calls lor inspection shall be made 24 hrs.in aavance�phone 259•8810. � <br /> � 2.All work shall be pedormed in accordance with this permit and current Ciry of Everett Design and Construction <br /> Slandards and Specifications. <br /> '!1 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NIIMBER 1•800•424•5555. � <br /> / � ' /, <br /> �—� y S.� lua� . �� ./= o/.,�- �-G- �:,,,,�- �jo�r.uc�l� O <br /> � /w .�� ���`'t: ��o-r/r. ��s-��L �_/z9n <br /> ' '-� n ��. �`G•,>znc n� ����'r � <br /> s- ,s�� �d,�- �y�y>�-r...�d �, N <br /> �' Co-t.�.�'- ��'�qc"t�u:m°,.�a , <br /> �� ��^� ,d � <br /> ' a <br /> _� <br /> _� <br /> �1 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold ana save harm� <br /> f less Ihe Cily ol Everett Irom any and all claims tor damages. costs, <br /> �j f 7 � expenses. or causes o� action ihat may arlse because ol installation <br /> �J U�, ��� /�� p��0 and maintenance ol lhe impr vement or other righbof-way use hereto <br /> � app�ied lor and further agr s remove same upon notice ��om Ihe <br /> Approved tor Constr' on , a�e City and to repla e public o erty damaged thereby. <br /> /P�// o� ���- �/'� - c <br /> C ' <br /> FINAL INSPECTION ���e - Datc <br /> Approved as Consiructed Siy i ur � pplic t <br /> WO K UTHORIZED BY THIS PEf7MlT MUST BE STARTED WITHIN <br /> everett PUBLICWORKSDEPARTMENT 78d�AVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200CedarStreet BE DILIGENTLV PURSUED TO COMPLETION.THIS PERMIT MAY B[ <br /> Everett WA 98201 CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />