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Date 10 14 92 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />00 Public Welke Permit <br />Bldg. Deli 38366 _ <br />Public Worke Fee $ <br />Total Fee <br />Leff April Fee Peid <br />Balance Due s <br />Norton industries 505 Laurel Dr Everett 98201 259-1718 <br />Owner Mailing Address City Zip Phone <br />Dykeman Architects 1602 Hewitt for- Everett 98201 259-3161 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work Addition to Warehouse (1600Sf) <br />Project Address lit known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the folliwing as applicable <br />• Property Lines <br />• Centerline of street <br />• Outline and dimensions of Ph existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• 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 />'� a. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555. <br />C I <br />�allI"i <br />! I ` ACKNOWLEDGEMENT OF CONDITIONS <br />Approved for Construction <br />FINAL INSPECTION Date <br />Approved as Constructed <br />WORKS DEPARTMENT <br />CPUBLIC <br />3200 Cedar Street <br />Tr <br />Everett, WA 98201 <br />Phone: 259.8B10 <br />UJ <br />�L <br />O <br />Z <br />O <br />15 <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-of-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 />