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� �Pliwtion Fcr � <br /> PUBLIC WORKS PENMIT Oata_ 1/27/99 <br /> PUBLIC WORKS DEPlWTMENT � / <br /> Public Works Permit M �_,_/�S <br /> 3200 Cedar Street T <br /> Everett,WA 98201 259-8810 Build�ng Permit A A6147A <br /> TO R^��l�►f, �� z o zoon — <br /> TYPE OR PRINT ONLY � "'' " <br /> Pub!ic Vlorks Fee$ <br /> SNF]L USA LTD 16203 121ST AVE NE I�UTHELL WA 98011 <br /> Owner Mailing Atldress City Zip Phone <br /> CONTACT: CONNIE ST GEORGE 425-252-2153 <br /> Applicant Malling Address Ciry Zip Phone <br /> Describe Pro�osed Work NEW RESEARCH FACILITY (SEPA 74-98) ■ . ■ <br /> W <br /> - �." <br /> � <br /> PROJECT ADDRESS(if known) 6605 MERRILL CREEK PKWY � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the follawing if applicable: � <br /> •Property lines 'Outline and dimensions oi all existing and proposed structures on the lot •E>isting and proposed utilities O <br /> 'Centerline of street •Indicate North 5how any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All catis for inspection shall be made 24 hours in advance - phone 259-8810. <br /> 2. All work shall be performed in accordance with this permit and current 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 1-8W-4245555. � <br /> � �.� ��-�,..� �.��� ��,�� 3 - y- 9 9 V� <br /> - .- . . � <br /> �; 4����- ; a <br /> �� <br /> ,:� ��, _ <br /> �� .� <br /> , <br /> __ ACKNOWLEDGEMENT OF CONDfT10NS <br /> Tha undersigned ownedapplicant hereby agrees to hoid and seve hartniess <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> qR,,,,, ��� ��� � pa�e cau•�es oi action that may arise because of installation and maintenance of <br /> I the improvement or othei rightol-way use hereto applied for and(urther aprees <br /> � ' to remove same upon notice hom the City and to repl.ice puNic property <br /> � �', �_�6_� damagedthereby. <br /> INALINSPEC I Date <br /> Approved as Constructed <br /> � 3 -s- 5 <br /> , Sign t�ure ot qpplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF D,:TE PERMIT IS ISSUED AtdD THEREAFfER IS TO BE DIUGENTLY PURSUED TO <br /> COMPLEf10N.THIS PC-RMIT MAY BE CANCELLED BY THE CIlY UPON ANY STOPPqGE OF WORK ON THIS PR0.IECT OVER 90 DAYS WRATION. <br />