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. <br /> � �7lication Far � <br /> �UBLIC 1►�ORKS PERIIAIT °a� <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit s <br /> 3200 Cedar SVeel <br /> Everett,WA 98201 259-8810 <br /> Building Permit p <br /> IYPE OR PHINT ONLY Public Works Fee S <br /> Plan Check No: H 53860 SEPA <br /> Owner Applicat.Da�e: 12[31/96 <br /> Job Addreea: 1920 MERRILL CRK PKWY /11 Phone <br /> Owner: INTRACORP <br /> Tenant: PORT CHATFiAM <br /> Propoeed Uee: OFFICE/MFG <br /> Applicant Desc. of Work: Phone <br /> TENANT IMF'ROVEMENT <br /> Describe Proposed Work __ oFFtce seT Joe SET — 1 � I <br /> W <br /> APPROVED FOR PEAMIT: DATE_/_�_ gy � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Attach lour;4)copies ot plans for proposed work-Oraw to scale and note the following if applicable: <br /> •Property Lines `Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centedine of street •Indicate North •Show a�y proposed gratling changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hour,in advance-phena 259-8810. <br /> 2.All work shall be pertormed in accordance with this permit and r��rrent City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V♦ <br /> nu�uc ivoh�cs r�zu+r O <br /> reoi; ��aui�6�• <br /> 3,--��_ ___ a <br /> s.i7G--1—z`� 7--- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/apFlicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims tor damages,costs,expenses,or <br /> Approved fur Construclion pa1e causes ot action that may anse because of installation and maintenance of <br /> the impmvement or other rigYbof-way use hereto applied for and further agrees <br /> to remove same upon notice Irom the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date � <br /> Approved as Constructetl <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITF':V iB7 DAYC OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEZION.THIS F�RMIT A1qY pE CANCELLED BY THE CITY UPON AN�'S f�PPAGF OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />