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.�._,.�.�- <br /> Date <br /> Pum�c wo�4s pwmtl+ <br /> ApPliCa�ion FOr Bi�g pep� . _ <br /> PUBLIC WORKS PERMIT PuOi�cwo�wsFee - <br /> Toial Fee S <br /> �esa nooi.Pne PaiE S <br /> Print o� Type Only Plan Check No: B 44667 SEPA Batance0ue S <br /> APPJobaAddree�201�E4 94INE VIEW DR <br /> Owner: SNOHOMISH COUNTY PUD <br /> Tenent: <br /> Propoeed Uee: SWITCHGEAR CONTROL BLDG <br /> Owne� Deec. of Work: <br /> CONSTRUCT PRE-ENGR METAL BLDG 7'0 Phnne <br /> Appiicant OFFICE SET JOB SET _ <br /> ''p Phone - — <br /> APPRVD FOR PERMIT: DATE_/_�_ gy <br /> Describe Proposed Work <br /> 1 <br /> Prolect Address pf known! ----�-------------- ---- � <br /> Attach four(4)COPies of plans fui proposed wu•k � Drav: r� ,cai., .��,.i nc�e t��a b�luwiny a5 dDUhc36�B: � <br /> • Property Lines � <br /> • C��nterlinr nf street � <br /> • Outline and dimensions ol all ex�stmg �nh • IctlicalN North <br /> proposed SlruCtureS on Ihe loi • �hpw any r,roa0sed graCing change5 <br /> • Exi5ling and proposed utiliUeS • Show measuremenis <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CJtvDITIONS O <br /> t.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. <br /> 2.,111 work shall be peAormed in acco�dance with this permit and current City of Everett Design and:onsiruction � <br /> Standards and Specifications. <br /> � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> � <br /> PUBLIC WORKS PEq�{�T O <br /> NOT REOUIRED � <br /> 9Y � ` � / <br /> UATE • r5 9 S/��� C6` vc lo�� �:�Z �� �` � <br /> /��^l�'/+�� � / ! O <br /> � L YGC Ny ��SC-'C d <br /> � a <br /> ACKNOWLEDGEP.IENT OF CONDITIONS <br /> __ _ fhe�,indersiqnetl ou�neUappliCant nrr2by agree5 to hold and sace harm- <br /> i less :he Qty a cverett trom any and ali claims lor tlamages. costs <br /> ; �'rUP.n5P5. Or C2u5e5 01 acuon thal may aiis= because olins�auat;en <br /> � -�-antl mainlenanr,a nl tne improvement or ether righ+-ol•way use hereto <br /> Approved lor Construcdon Da�` ; a:Nmd �or and lurther agrees to remove same upon nolice Irom the <br /> ( � C�ty arA to repl�ce. pub6c prpperty damaged thereby. <br /> I � <br /> � FINAL INSPECTION <br /> A?proved as Conslructed Dale <br /> � Signature ol AppliCant Date <br /> � ���� PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet �80 DAYS OF DATE PERM17 IS ISSUED AND THEREAFTEIi IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED 70 COh1PLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPpAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> � I <br /> ii <br /> �� <br /> � <br /> l <br />