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Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicanl <br />Plan Check No: B 41069 <br />Appllcat.Date: 06/24/93 <br />Job Addre: 313b ROCREFELLER <br />Owner: SNOCOPE FEDERAL <br />Tenant: <br />Proposed Uee: OFFICE SPACE <br />Deec. of Work: <br />TENANT IMPROI�EMENT <br />� <br />SEPA <br />PUDIit WOA� Pomll • <br />BIOp. Deo� � � <br />Vublic Wark� Fea s <br />TmN Fs� <br />L�u AppL FN PtlE S <br />8������ Due i <br />AVE Zip Phone � <br />CREDIT <br />Describe Proposed Work , OFFICE SE'f JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ <br />Z�p Phone <br />Pro�act Addresa (If known) <br />Attach four (4) copios ot plans for proposed work • Draw to scale and note the tollowing as applicable: <br />• Property Lines � Centerline of street <br />• Outline and dimenstons of ell existing and • Indicate North <br />proposed struclures on the lot • • Show :-�y proposed gredinp chenges <br />• EzlstinB and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1, IUI celle for Inepectbn shall be mede 24 hrs in advance- phone 259-8810. <br />2. All work shall be performed In accordence with thia permit and curtent Ciry ot Everett Design and Construction <br />Standarda and Specifkatlona <br />3 Cell Locetion Underpround Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800�4245555. <br />PUBLIC WORKS PERMIT <br />NOT REOUIRED <br />BY�� <br />DATE G' z y �3 <br />Approved lor Constructio� Date <br />FINAL INSPECTION Gate <br />qpproved as Constructed <br />�PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett, WA 98201 <br />Phone:259-8870 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and seve harm- <br />less ihe Ciry ot Everell Irom any and all claima for damages, costs, <br />expensea or causes of action that may arise beceuse oi instellation <br />end maintenance ol the improvement or othar right•ol•way use herelo <br />applied for and furthar agrees to remove seme upon notice from the <br />Cily and to rep�ace public property damagad thereby. <br />Signature of Applicant Date <br />WOFK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />