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6/30/95 <br />Date <br />Acphc,itwn ror <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Public Works Permll <br />Bldg. Dept. s 48816 <br />Publip Works Fee 5 <br />Tplel Fee <br />Less Apol. Fee Pad S <br />Balance Dua $ _ <br />Everett Wholesale Paper 2914 McDougall _Everett 98201 252-2105 <br />Ownal Mauhn9 Address --- Phone <br />Marvin Dean (Hobbit Homes) 724-5011 <br />Applicant Maillnq Address City Zip Phorn, <br />Describe Proposed Work <br />Project Address (It known! <br />2nd floor office addition <br />_ 2914 McDougall <br />Attach four (4) copies of plans lot proposed worn - Drava to scale and note the following as applicable: <br />• Property Lines • Conterline 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 3 Show measurements <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.:all Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />'UBLIC WORKS PERMIT <br />WO f REQUIRE" <br />lV <br />r;ATE C• 17C 95 <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />7 PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 08201 <br />Phone: 259.8810 <br />W <br />Cl)Y <br />0A <br />am <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 damages. costs. <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-ol-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />