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Ilcstlar For <br />PUBLIC %4%)RKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 96201 259-8810 <br />TYPE OR PRINT ONLY <br />Public Works Permit e <br />Building Permit# <br />Public Works Fee S <br />Owner Plan Check No: B 51042 SEPA <br />Applicat.Date: 03/05/96 <br />Job Addrase: 1716 A MARINE VIEW DR STE D <br />Owner: HARBOR '3UNTAIN DEV <br />Tenant: DYKEMAIr ARCH <br />Applicant Proposed Use: OFFICE <br />Desc. of Works <br />T.I. <br />Describe Proposed Work <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />PROJECT ADDRESS (f known) <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following N applicable: <br />"party Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />eCentedine of street 'Indicate North 'Show any proposed grading changes 'Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <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. <br />UBLIC WORKS PERM" <br />r;or REQUIRED <br />71y — -- <br />aATE <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save hanMess <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE SMARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE ^11 IGENTLY PURSUED TO <br />,COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAT-.'-N. <br />