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Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Puoi¢ Wm�s Pnrmn • <br />BICq.Oaut � _ <br />PuElic WorMa Fee S <br />Total Fee <br />lBfi APPI Fee Pdi� S <br />Bul0nta0us S <br />Plan Check No: B 28181 SEPA <br />�� Applicat.Date: 11/22/91 <br />Owner Job Addrs: 1130 W MARINE VW DR "E" phone <br />Owner: AMERON <br />Tenant: CROW'S NEiT <br />Proposed Uee: RETAIL <br />Deec. of Work: <br />Applicant CHANGE OF USE — SHELVING, PEGBOARD Phone <br />Descrihe Proposed N'ork OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ BY <br />; Pro�ect Address (if known) <br />Attech four (4) copies ot plans for proposed work • Draw to scale and note the fol�owing as applicable: <br />i� • Property Lines • Centedine of street <br />n Outline end dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />� • Existing and praposed utllities • Show measurements <br />PERMIT CONOITIONS <br />1. AII cells for inspection shell be made 24 hrs In advance • phone 259-8810. <br />2. All work shall Ge performed in accordance with this permit and current City of Everett Deatgn and Construction <br />Stendards and Specificationa <br />3. Calt Locatlon Underground Service 48 hra belore you dig. TQLL FREE NUMBER 1-800-424•5555. <br />�i.�1-�t Gc2rL� i�� �a-�.c-f� ���ey.CL��.<� <br />�� D <br />%J6� <br />�:''� '?� <br />Approvad for Construction Date <br />FINAL INSPECTION Gate <br />Ap;:�roved es Conshuctod <br />�PUBLIC WORKS DEPARTMENT <br />3200 Ceder Straet <br />Everetl, WA 98201 <br />� P�o�e:259-8810 <br />� <br />� <br />� <br />� <br />� <br />� <br />L <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicani hereby agrees to hold and save harr <br />less lhe City of Everett from any and all claims for demeges, cost <br />expenses, or causes of action that may erise because of installatic <br />and mair.tenance of ihe improvement or other Nghbof-way use here' <br />eppiied for and further agrees to remove seme upon notice trom th <br />Ciry and to replace public property demegad thereby. . <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHI <br />tB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS T <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY E <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH <br />PROJECT OVEF; 90 DAYS DURATION. . <br />� . _ . . _ __ - -�- .. . __.__ __.__. � <br />�.�-�,.. .... <br />