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�� <br />TYPE OR PRINT ONLY <br />�"WDlication For <br />PUBLIC 1rrORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 96201 259-8810 <br />�� Mailin� <br />Appllcant Meilin <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Dat� <br />Public Works Pertnit a <br />Building Permit M _ <br />Public Works Fee $ _ <br />Plan Check No: B 50142 <br />Applicat.Date; 11/27/95 SEPA <br />3ob Addreae: 15b1 WALNUT ANE <br />Teant� PERKY'SUESPAES50 INC <br />Propoeed Uee: ESPRESSO <br />Dea�, of Work: <br />A'ALK-UP ESPRESSO STAND <br />OFFICE SET—J�B SET <br />APPROVED FOR PERMIT: DATE <br />—�_/_ BY " <br />'hone <br />'hone <br />Attach four (d) copies of plans for pioposed work - Draw to scale and note the following H applicable: <br />'Property LJnes "Outline and tlimensions of all existing and proposed structures on the �ot •Existing and proposed utillties <br />'Centerline of street ryndlcate North 5how any pioposed grading changes •Show meazurements <br />� ---- "....--__.......�..���.� <br />PERMIT CONDITIONS: <br />1. All calls for inspectfon shall be made 24 hours In advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specificatlons. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�•ua�rc wo�Ke P6RN�• <br />Ror REQy�IliR <br />:y <br />"'�"'-""—'� • ��i1BLIC ':�UNI<S PERMI� <br />��ATF...__,--�-^--�- P•'S�i'�!�EUUIRE� <br />'� YT_�,�/p, <br />� ATF_ i� _B is <br />Approved for Construction Date <br />FINAL INSPEC �ION Date <br />Approved as Constructed <br />� <br />O <br />♦�A <br />V♦ <br />O <br />a <br />ACKNOWLED�EMENT OF CON�ITIONS <br />The undersigned owner/applicant hereby agmes to hold and save hartnless <br />the City of Everett from any and all claims for tlamages, costs, expenses, or <br />causes of action that may ariso bewuse of installation and maintenance of <br />the improvement or other right-ol-way use hereto applied for and fuAher agrees <br />to remove same upon notice from Ihe Cily and to rep�ace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AU7HORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF1'ER IS TO BE DILIGEN7LY PURSUED TO <br />COMPLEf70N. THIS PERMIT MAY BE CANCELLED BY THE CIT' UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br />