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Date 9/28/94 <br />Application Fm <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Monte Cristo Partners, L.P <br />Owner � <br />Same <br />APPlicant N <br />Describe Proposed Work Install E <br />4" h x 1'-0" w x ln�_n�� <br />Project Address (if known) <br />to <br />2731 Wetmore Ave <br />Suite 500 <br />City; <br />auoi�c Worwa Permn . 3 / <br />0�a9 Decl. � <br />PubLc Works Fea <br />iotalFee s <br />��� <br />Less aoo�. Fee Paie S <br />BalanceDue t �� <br />czo6� sea—eaoo �y"'''~ <br />Everett WA 98201 <br />Zip <br />1509 Wall St <br />Attach lour (4) copies of plans for proposed work - Draw to scale anA note the following as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing antl � Centerline of sireet <br />proposed siructures on ihe lol � ��tlicate Norih <br />• Existing and proposed utilities � Show any proposed giading changes <br />�- • Show measurements <br />Approved as <br />�� <br />W <br />� <br />� <br />� <br />DO NOT WRITE BELOW THIS LINE m <br />PERMIT CONDI710N5 <br />1. All calls for inspection shall be made 2q hrs. in edvance • phone 259-$810. O <br />2. All work shall be pertormed in accordance with this permit antl current City of Everett Design and Construction <br />Standards and Specifications. � <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•BOO.qQ4•5555. <br />� <br />�' / � <br />___ ,� <br />PUBLIC WORKS DEPAqTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone: 259-BB10 <br />Date <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The unAersignetl owner/applicant hereby agrees to hold and save harm- <br />�ess Ihe City of Everett Irom any and all claims for damages. cosls, <br />erpenses. or causes of action that may arise because ol installation <br />antl maintenance of Ihe improvemenl or other righbohway use hereto <br />applied for and lurther a r s to remove same upon notice Irom ihe <br />City and to re ce ic p perty damaged thereby. <br />� � <br />`' '�' '�^" N`L�Li� / <br />i ature of Applicant <br />WORK AUTHORIZEU BY 7HIS PER MUST BE STARTI:�D 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 />