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Appikalkin For <br />PUBLIC WORKS PERMIT <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEWIRTMENT <br />3200 Cedar ..treat <br />Everett, WA 98201 259-8810 <br />TO POSTING <br />Plan Check No: <br />Applicat.Date: <br />Job Addreas: <br />Owner: <br />Tenant: <br />Proposed Use: <br />Desc. of Work: <br />NEW HOTEL <br />Public Works Permit a <br />Bulking Permit e <br />Public Works FeD $ <br />B 51239 SEPA Phone <br />03/29/96 <br />1700 4i MARINE VIEW DR <br />HARBOR MOUNTAIN DEVEL <br />INN AT PORT GARDNER Phone <br />HOTEL <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ By <br />Attach four (4) copies of plans for proposed we- Draw to scale and note the following If applicable: <br />'Property Lines 'Outline and dimenslo,- of all existing and proposed structures on the lot 'Existing and proposed utilities <br />'Centerline of street 'Indicate N Oh •Show any proposed grading changes 'Show measurements <br />PERMIT CONDITIONS: Z <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. o <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. H <br />0 <br />1/(ipc r fY oy.` ) p1'r /�'/OS$h� r <br />' 6L <br />Approved for Construction Date <br />FINAL INSPECTION <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and am harmless <br />the City of Everett from any and ail claims for damage,, costa, expenses, or <br />causes of actkn that may arise because of Installation and maintenance cf <br />the improvenvmt or other right-of-way use hereto applied fa and furtheragress <br />to remove same upon notice from the City and to rapt" public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />