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(., � <br /> Applkatlon For �;e <br /> PUBLIC WORKS PERMIT publlc Works Permit N <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Sireet <br /> Everett, WA 98201 (425)257-8810 Building Permit# <br /> TYPE OR PRINT ONLY Public Works Fee$ <br /> a""Qt Plan Check No.: C9908-007 Phone <br /> ]ob Address: 2105 MONROE AVE <br /> Applicant Owner. GMPOS AL p��e <br /> Tenant: <br /> Application Date: 8/6/99 � <br /> Describe Proposed Work _ p����; � <br /> Typ :of work: ADDITiON <br /> Office Set Job Set Fre/Planning Set � <br /> Approved Far Pertnk: Date: By: � <br /> PROJECT ADDRESS (if known) W <br /> Attach four(4)copka plans for proposed work-Draw to scale and note the idlowing If applicabta: O <br /> •Prope�ty IJnes •Outline end dimenslons ol all exlstlng and proposed stnictures on the bt •Existlng arxl pmposed u671tles � <br /> •Centerline of ahsat •Irxlicata NorN •Show any pmposed grading changes •Show measuremenls <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8870 <br /> 2. All work shall be performed in accordance with this permit and current City of Evereri Design and � <br /> Construction Stendards and Specitications., <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555. ♦A <br /> \O <br /> ?UDLIC WORKS �GJtMla � <br /> �OT �qUIRk11 <br /> f V `��\ <br /> •AT�_____�UL�"L,�, <br /> �r- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The unEerstgned ownedepplicant hereby agrees ro hold arW seve hartnless <br /> me Ciry of Everetl from any end all dalms for demeges,costs,expenses,or <br /> prove or ns ruc ion a e causes ol action thel mey erise because of installatlon and meintenance of the <br /> Improvement or athar right�o6way use heroro appliad for and further eQrees to <br /> remove same upon noNce from Me Gty and lo roplace publb property dam- <br /> eged thereby. <br /> FINAL INSPECTION Date <br /> Approved es Conshucted <br /> gna re a ican e <br /> 1MORKAUiliOR�D BY iHIS PERMR MUST BE SfARTED WITHM 18D DAYS OF CATE PEFiYIfi IS ISSUED M1D 7FEF�AF7FA I310 BE DLIOEMLY PURSIED 1U <br /> ODMPLETION.THIS PERMIT MAY BE CANCELIED BYiHE qTY UPON ANY SNPPNCiE OF W'O�iIC ON iNS PFiQECTOVEFi 90 OAYS OURAiIdd <br />