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Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />Plan Check No: B 38899 <br />SsPA <br />Ap3licat.Date: 124404/92 <br />Job AdOwneer: SNOHOMISH COUNTYST FL <br />Tenant: JAIL <br />Proposed Use: JAIL <br />Desc. of Work: <br />INSTALL HIGH DENSITY STORAGE SYSTEM <br />\ IPebkc Works Permit a <br />Bldg. 0001 <br />Describe Proposed Work — OFFICE SET__ JOB SET__--� <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Project Address (if known) <br />Publ¢ Works Fee i <br />Total Fee <br />Lass APPL Fee Paid f _ <br />salans 0.0 <br />the <br />Attach four (4) copies of plans for proposed work • Draw to scale and note a following Centerline of street <br />able: <br />• property Lines • Indicate North <br />• Outline and dimensions of all existing and Show any proposed grading changes <br />proposed structures on the lot • Show measurements <br />a Existing and proposed utilities <br />..., .,nr wolra BELOW THIS LINE <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />1. All Calls for inspection shall be made 24 him in a'.vance • phone 259.88 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />5. <br />3. Call Location Underground Service 48 him before <br />you dill TOLL FREE NUMBER 1$QQ424-555 <br />Date <br />pproved for Construction <br />Date <br />INAL INSPECTION <br />pproved as Constructed <br />OLPUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8810 <br />W <br />MINES <br />CA <br />co <br />0 <br />n <br />z <br />0 <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS _ <br />The undersigned owner/appiicanl hereby agrees to hold and save harm* <br />less the City of Everett from any and all claims for damager Asts, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applCity landito replace public gperemove property damaged thereby. notice from the <br />Date <br />Signature of Applicant <br />WORK AUTHORIZED BY THIS <br />OFF DATE PERMIT SPERMIT BWITHINE STARTED <br />ISSUED ANDTHEREAFTER IS <br />180S, TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED <br />DURATION.ONANY <br />STOPPAGE OF WORK ON THIS <br />PROJECTOVER 90 DAYS <br />