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,_.,..,.. <br />; <br />� � <br />o��� <br />t" y <br />H�� <br />K f] <br />Hp� :tl <br />�M� <br />q1 H <br />xp <br />OMd <br />�^�g^ <br />Y,V ♦• <br />t+y� <br />HH <br />g� <br />nd� <br />� � [�1 <br />2 H V� <br />HOy <br />v � <br />Date 3-4—�2 <br />qppllCatlon For <br />PUBLIC W(JRKS PERI`VIIT <br />Print or Type Only <br />TENANT — Little Caesars Pizza <br />� <br />�' pPubllc Wcka Permli • <br />BICp.Ooo�a 35889 <br />PuElic Wo�xa Fea s <br />Ta�ai Fae <br />lrfsnoo� Faa Voia 5 <br />9alanca �ue g <br />Cascade Development Group 3605 — 132nd Ave SE Hellewe WA 96006 957—+�78 <br />Owner Mailing Address Ci1y Zip Phone <br />Evergreen Pizza Co <br />Applicant <br />Describa Proposed Work <br />?,ddress <br />Tenant imp�rovement <br />Praject Address'�f known) ��ZS <br />� <br />Atlach four (4) copies of plans for proposed work • Draw to scale and note the lollowing as applicable: <br />• Properry Lines • Centerline of slree[ <br />s Outline and dimensions ol all existing and • Indicnte North <br />proposed struclures on the lot i Sno�+ any proposed grading changes <br />• Existing and proposed utilities O Show measuremenis <br />Phone <br />PERMIT CONOITIONS <br />i. All calls lor inspecticn shall be made 2a hrs. in advance • phone 259•B810. <br />2. All work shatl 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. before you d�g. TOLL FREE NUMBER 1•800•424•5555. ', <br />�/% / -^ //-/- [ <br />�i/K�G �dG�!-. L.,�„f. -r /�-"�j/.LC.Lt-t/�'� <br />, � �� <br />=��, <br />i� _� 'r <br />Approved lor Constr.iction Date <br />FINAL INSPECTION Date <br />approved as Cons�iwtad <br />r PUBLIC WORKS DEPARTMENT <br />�� 3200 Cedar Streel <br />Everett WA 90201 <br />Phone: 259�8870 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />0 <br />The undersigned owner/applicant hereby a9rees lo hold and save harm� <br />less Ihe Ciry ot EvereU from any and all claims lor tlamages, costs, <br />expenses, or causes ol action that may arise because of installation <br />and maintenance of the improvemonl or other right•of•way use hereto <br />applied for and furlher agrees to remove same upon notice from the <br />Cily and �o replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED�WITHIfJ <br />180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY 11PON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />