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TYPE OR PRINT ONLY <br />Appliwtion For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />�� PQSTING aPR— 2=—'��-� <br />/ <br />Date_ 7-16-96 <br />Public Works Pertnit # � �C/ / <br />Building Permit R <br />S2 <br />Public Works Fee $ S-�7 — <br />Clark Distributing 2202 36th St Everett 98201 252-6848 <br />Owner Mailing Address City Zip Phone <br />Contact Chuck Ogden 349-2190 <br />Mailin9 Address <br />Describe Proposed Work <br />new metal <br />PROJECT ADDRESS (if known) <br />3717 McDouQall Ave <br />City Zip Phone <br />AMach tour (4) copies of plans tor proposed work - Draw to scaie and note the following if applicable: i <br />•Property Lines `Outline and dimensions of all existing and proposed structures on the lot •Existing and p�l0es <br />'Centerline of street •Indicate North •Show any proposed grading changes •Show measurements �� f1705.� <br />DO NOT WRITE BELOW THIS LINE pLp (,y{ �q�,sp <br />PERMIT CONDITIONS: pppppq(� <br />1. All calis for inspection shall be made 24 hours in advarce - phone 259-8810. yp� y�5p,pp <br />2. All work shall be pertormed in accordance with this permit and current City of �j�sign and <br />Construction Standards and Specifications. c�� 170,pp <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM��;'.j�i5. <br />N00096297 <br />� Cf��.�F f� .l� s�e �oe.� ¢��oi.�d P�P�S ���¢o�►�-�s�z� <br />aw�u s�. <br />� t�ro.l�t�� �izria.f�rzrr.L�tS 4.�ou�d Z`�es �DL4�,� u�� <br />//Ylcdnvs.: lC u�...� �t Lo � y 37��' <br />B 8-/i� -96 <br />provy for stoul Date <br />C � <br />� � �/ -�� <br />INAL INSPE� Date <br />Approved as Constructed <br />W <br />H <br />- <br />� <br />� <br />O <br />��/� <br />V♦ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant heraby agrees to hold and save hartnless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise use of installation and maintenance oi <br />theimprovementorother' -of-w useheretoappliedforandfurtheragrees <br />to remove same u notice i th�? and to replace public property <br />damaged ther n <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS Dl1RATI0N. <br />