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Date 8/19/94 <br />PUBLIC <br />Print or Type Only <br />Puget Sound Facilitater <br />QWf1P.1 <br />Omar Jensen 355-6682 <br />qpplicant <br />n�.pplicatlon Fo� <br />�/ORKc <br />d <br />� <br />.r_ v�i � v� <br />m P r: �7 <br />:' � �: '" <br />� .� <br />�290� Hewitt <br />C I Oji� .,�.1IX1 <br />O � � � � <br />n, a i� a. <br />PERMIT <br />no <br />Ul O <br />�� <br />ve� <br />S{.� � <br />(� L <br />f�1.,IIvr.1 flddr.•_,,, <br />P�.ibLr. lVorhs Pamnl � ��/=1 / <br />oinn n�n� . . 45350 <br />�,tlmr.wm�s�uc 5 <br />trn.�i cnc <br />les5AI11�1 FnP�aCl CJ <br />Baiancr Duc D <br />�- 3.���/�s°3/'. <br />98201 O(W�/t( . <br />��". )�n Phnnc <br />Citr Zip P!�one <br />Descrit�e P�onosrd wo�k _ Change of use - SFR to_office <br />�u!L'�� w`-���-�- <br />aroiec� nddressu� k�ow�� —_. 3226_Rockefeller_AvQ _—_______ <br />Attaeh four14) coP�es ot P�ans toi nroPoseJ �v-o•.. � ��nv. ��, ":.0.� .�c_i �u:i,� tnn!Wlrwvg as anulicnbie. <br />• Property lines <br />• Outline and Aunensions of all exi5Ln9 :�nrf <br />propo5�_•d SIruCWreS on thc iot <br />• Existin� and propased utilities <br />• Centorlme nt street <br />• In�ica��: No-�h <br />• ChOW finy nrOpOSC(� 4f8�in<I Ch.'llLli•5 <br />• 6hn;; n�P.lSurpinent5 <br />iH15 LINE <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 Specilications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4. Rootlop draineRe sheli be discherged to ihe sanila�y sewer. <br />5. A Iwld hvmless for side se.ver agreement must be er.ecuted prior to uccupwicy or else d�c <br />s�desewer serving Uiis prope�Ty must be upgradeJ to ti". <br />5. Parl:ing lot. must be paved Fer city standard 3-5.2 nnd sloped to direct runof[ lo alley. Pari:ing <br />geomelay es per approved sitc pla�. <br />Approved as Constructed � <br />��r��� PUBLICWORKSDEPARTMENT <br />�, 3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259�8810 <br />ACKNObl'LEDG[P:tENT l)F CONDITIONS <br />W <br />F- <br />�w� <br />_ I <br />� <br />O <br />� <br />� <br />O <br />a <br />1 h�� u�•h������qnei7 rnvneiiapphcant he�eby agrees �o hold and sE�ve harnr <br />io,s Ih�� C:Iy o� Gveiell from any and all clam�s for damages, cusis <br />i•tipenses o� causes of ar.tion ihat may ans^ t)ecause ol inslall-r.Uen <br />,�nd maintei�anr.e o� !Po miprovemeM or o�her r,ght�ol�way usr herelo <br />,-,-�,I�n,1 Inr and 'urther aqrees to remove samn upon notice Irom Ihe <br />(: '� .ind 7�� rnplaCa .� I¢: � roneity damaged Iherehy. <br />L pnalu�l�pl� M � Date <br />N'ORK AUTHORIZED BV THIS PERAIIT �4UST BE STAiiIED WITHIN <br />7q0 DAYS OF DATE PER�11T IS ISSUED AND THEREAFTER IS TO <br />3E DIUG[NTL1' PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />C���JCLLLEU B I THE CITY UPON ANY STOPPAG[ OF WORK ON THIS <br />PRO,i[CT OVER 90 DAYS DURATION. <br />