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I <br /> ♦ <br /> � � 'ication For <br /> PUBLIC 1►v JRKS PERMIT Date�=_ <br /> PUBLiC WORKS DEPARTMENT Public Works Permit ff <br /> 3200 Cedar Sireel <br /> Everett,WP 98201 259-8810 Builtling Permit M <br /> TYPE OR PRINT ONLY PuMir.Works Fee$ <br /> Plan Check No: B 54689 SEPA <br /> Applicat.Date: 03�31/97 <br /> Job Addreee: 19 0 f9EARILL CREE}: PK4i7! phone <br /> Owner Owner: INTRACORP <br /> Tenant: MYGRANT GLASS <br /> Propoeed Dee: OFFICE <br /> Deec. of Work: phone <br /> Applicant TENANT IMPROVEMENT (SPACE C) <br /> / <br /> Describe Proposed Work _ oFFtcE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> � <br /> N <br /> PROJECT ADDRESS (if known) m <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note the following if applicable: O <br /> •Property Lines 'Outline and dimensions of all ezisting and proposed structures on the lot •Existing and proposad utilities <br /> •Centerline of street •Indicate NoAh •Show any proposed grading changes •Show measurements ^ <br /> ♦ <br /> DO NOT WRffE BELOW THIS �INE � <br /> PERMIT CONDITIONS: <br /> 1. All calis for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifir,ations. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V♦ <br /> O <br /> a <br /> "1!FLIC �OYtKS PF,Pl�"' <br /> •a0 r Q&CUN�b* <br /> ,y _� <br /> r,T_. .7�i`J .^+ . <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> the City of E�erett from any and all claims for damages,costs,oxpenses,or <br /> causes of action that may arise because of installation and maintenance ol <br /> ApprovedtorConstruction O��e theimpmvementorotherngh4of-wayuseheretoappliedforandfuAheraga�es <br /> to romove same upon notice from the City and to replace publlc properry <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEU WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 8E DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERM1IIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATIO�. <br />