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Dele wni�a wo,..v.,mn. <br /> Applicallon For eap oeoi.• <br /> PUBLIC WORKS PERMIT ^�°:o;;;::"' _ <br /> L�O�PoI f��P�q 5 <br /> Prin�or Type Oniy e.�,��.o�. S <br /> Plen Check Nos B 37403 SEPA Z;P Phone <br /> Ownar Appllcat.Date: 07/16/92 <br /> Jab Addreee: 3029 aOCKEF6LLEA AVE <br /> Owner: KANpA, MPHAEL <br /> Tenant: <br /> Applicant Deec�ofdNork� CAAACE/SFR Zip P�onc <br /> NEW GAMGE 676 SF <br /> OescriEe Pmposed Wo <br /> OFFIC6 SET JOB SET <br /> �PPROVED FOR PEAHITt DA7S_/_�� gy <br /> W <br /> Prolecl ACdrese(il known) � <br /> Attac�four(4�copies ol plans lor pmposeG work-Draw to scale anE note Ihe lollowing as aOVlicable: � <br /> • Property Lines •Centerline ol sireet /A <br /> •Outline and dimensions ot all eaistinB antl •Intlicate Nonh V/ <br /> O�aoosed slructures on Ihe lot •S�ow eny propoceU B�atling changes <br /> •Existing and pmposetl ulilities •Show measurements �Yr <br /> t 1 <br /> DO NOT WRIT'c BELOW THIS LINE <br /> PERMIT CONDITIONS / <br /> 1.All C8114�of inspettion s�all be made 24 hrs In aCvanCe�phone 2$9•89�U. + <br /> 2.All vrork shell De peAormeO in ntcordanca wilh I�is permit and curtenl Cily ol Evere��Design end Construc�ion � <br /> StendarEs anE Spxilications. � <br /> 3.Cell Locetion UnderOround Service 40 hrc ba,lore you tlig.TOLL FflEE NUMBER 1•800-424•$$55. � <br /> fu/��:.�_ n,-ezf_ �_�:�:..,.,f ,'::,7` C��e.e�.:�./' � <br /> . �� � � <br /> �/l�//� � <br /> O <br /> a <br /> ACKNOWIEDGEMENi OF CONDITION$ <br /> T�e undersigned awneqapP��cant herehy aBrees lo nolA ar,d save harm� <br /> less Ihe City ol Evereli Irom any antl all claims lor Oamage4 casts. <br /> expenses. or causes of action Ihat may arise �etarae ol Installalion <br /> anE maintenance ol tne improvemen;or ot�er rig���o4way use�ereto <br /> aOPlied lor antl lutl�er agrees lo remove same u0an mlice Irom t�e <br /> ApDrovetl lor Construction Date Ciy and to replace publ�ic proPetly tlamagetl 1�^reEy. <br /> FINAL iNSPECTION Date <br /> ADP�oved as Constmttetl SignaWre ol Apoiicant Oale <br /> PUBLIC WORKSDEPARiMENT H'ORK AUTMORIZED BV THIS PEPMIT MUST BE STARTED WITMIN <br /> ffiOOCetlar5lreet 180 DAYS OF DATE PERMIT IS ISSUED ANO TMEREAFTER IS TO <br /> Everett,WA BB201 BE DIIIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> P�one�259�8810 CANCELLED BV THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS Dl1RATION. <br />