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� AP�lication For <br /> PUBLIC WORKS PERMIT oa'e— lo-z3-96 <br /> PUBLIC WORKS DEPARTMENT Publ�c Works Pertnit# <br /> 3200 Cedar Street <br /> Evereri,WA 98201 259-BB10 euilding Permit a_ 53313 � <br /> IYPE OR PR�NT ONLY Public Works Fee$ <br /> JDH Group 10420 NE 37th Circle Bldg 5 Kirkland 98033 739-0911 <br /> Owner Mailing Address City Zip Phone <br /> Callison Architecture Dave Kase 623-4646 <br /> Applicant Mailing Adtlress City Zip Phone <br /> Describe Proposed Work drive up lanes in parking structure for Wells Fargo Sank � <br /> _ � <br /> � <br /> �/ <br /> PROJECT ADDRESS(itknown) 2801 Wetmore Ave � <br /> Ariach four(4)copies o1 plans for proposed work-Draw to scale and note the following if applicable: O <br /> Rroperty Lines •Outline antl dimensions of all existing and proposed siructures on the lot •Existing and proposed utilities <br /> •Centerline of sireet �Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.AII calis for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> , ,A <br /> � VI <br /> � O <br /> a <br /> ,:,�a�ic woAKs P�t�R'1i <br /> r,pr COUtRE4 <br /> �Y.-=�!�_ - _ _..-,---• <br /> .saTc.�G.�'�_�S!'''".....,....- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant henxby agrees to hold and save harmless <br /> the City of Everetl from any and all da�ms for damages,costs,ezpenses,or <br /> Approved for Conslruclion Date causes of adion ihat may arise becau:;e of installation and maintenance of <br /> the impmvement or other rigM-ol-way us��hereto applied for and hiAher agrees <br /> to remove same upon notice irom the City and to replace public property <br /> damagedihereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature ol Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 I)AYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO t9E DILIGENTLY PURSUED TO <br /> COMPLETION.TIiIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON�\NV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAY:i DURATION. <br />