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Date 2/7/92 '/�f G� / Public Works Permit* 7 S�s D <br /> Application For p ''v / 202 O/ 5 Bldg.Dept.#355g5 & 35596 <br /> PUBLIC WORKS PERMIT Public Works Fee <br /> Total Fee $ <br /> Less Appl.Fee Paid $ <br /> Print or Type Only Balance Due $3�00 <br /> 000-,32z9e//83/ <br /> Strickland Trust #2 PO Box 338 Edmonds, WA 98020 774-6599 <br /> Owner Mailing Address City Zip Phone <br /> Tenants — Romeo's Pizza & Hair Loft. <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work Tenant improvement (divide existing building into 2 separate businesses) <br /> '° re,s-7SA,'4,c7e . .—A4 J log'` Oji 71he Wes, s'c nr4' <br /> 65-,.S x.,,,, Ao?c,,,64.,p , „......o <br /> w <br /> Project Address(if known) 3710 Mukiltet Blvd. #1 & #2 <br /> Attach four(4) copies of plans for proposed work- Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> a:i <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555. <br /> 9 S>7e4 C,c./© ?le le do:,e ,Oe r pLa ti Qioio/^'oVed <br /> 4 P0i/ c wo1 4 oh 2-27-92 , lea 4/i/4c%iedJ v <br /> Y Py <br /> 0 <br /> I- <br /> U)FC9").---, <br /> 0 <br /> 6-' 6 / /14 i 01 all <br /> ("1 C 01 " 40111 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damag-e's, costs, <br /> expenses, or causes of action that may arise because/df installation <br /> ���4 € c3' G �� and maintenance of the improvement or other right-of�way use hereto <br /> applied for and ther agrees to remove same upon notice from the <br /> Ap roved for Cons ' n ' Date City and lace public property damaged thereby. <br /> . &-1 _.// <br /> FINAL INSPECTION Date 3 tic/9: - <br /> Approved as Constructed :a re of Applicant Date <br /> WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKeet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO. <br /> Everett,00 CedarWA Street <br /> 1 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAYS DURATION. <br />