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� olication For � . <br /> PUBLIC 1r.ORKS PERMIT Dat <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit N <br /> 3200 Cedar Street <br /> Everet�,WA 98201 259-8810 <br /> Building Permit# <br /> TYPE OR PRINT ONLY Pub�ic Works Fee E <br /> a+'^ef Mailing; Plan Check Nos B 53313 SEPA ione <br /> Appllcat.Date: 10/23/96 <br /> Job Addreee: 28b1 WETHORE AVE <br /> owner: JDN CROUP <br /> Applicant Mailing. Tenant: WELLS FARGO BANK ione <br /> Propoeed Uee: BANR <br /> Deec. of Work: <br /> Describe Proposed Work TENANT IMPROVEMENT� ADDN OF DRIVE UP LANES <br /> . IN PARKING LOT � <br /> OFFICE SET JOB SET � <br /> APPROVED FOR PERMIT: DATE_/_�_ gy � <br /> PROJECT AODRESS(if known) � <br /> Attach four(4)copies of plans for proposed work•Draw to scale and note the following if applicable: � <br /> `Property Lines 'Outline and dimensions of all ezisting and proposed structures on the lot �Existing and proposed utilities O <br /> �Centerline of street •Indicate NoAh •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1.0"calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.An work shall be pertormed in accordance with this permit and cunent City of Everett Design and O <br /> , Construction Standards and Specifications. <br /> • 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> � <br /> V♦ <br /> O <br /> �:ie�ic woPka �=pr,n��� � <br /> KU/� qEOUIRE� <br /> �Y�.L."f� <br /> •nTE _1/ /3 ?G __�. <br /> c�.�. y� �,� �� <br /> 46�,� �z P�.� .s�.�o-. l��Q..�.k..,�'' <br /> �Ins/Le�i,eu.c� � a�.ea� S�jv"y f A <br /> vxe � :�,��.Uu..�••.C�ia-cGY. <br /> ACKNOWLEDCaEMENT OF CONDITIONS <br /> The undersigned own=r/applicant hereby agrees to hold antl save harmless <br /> the City of Everetl from any and all ciaims for damages,costs,eapenses,or <br /> Approved for Construction Date cauces of action that may arise because of installation and maintenance of <br /> 'he improvement or other right-of-way use hereto applied for and further agrees <br /> :o remove same upon notice from the City and tc replace public property <br /> tlamaged thereby. <br /> FINAL INSPECTION � Date �, . <br /> l��proved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY 7HIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DRTE PERi�11T IS ISSUED AND TH[REAFfFR IS TO BE DILIGENTLY PUPSUED 70 <br /> COMPLEfION.7HI5 PERMIT MAY�E CANCELLED BV THE CITI'UPON ANY STOPPAGE OF WORK ON THIS PROJEGT OVER 90 DhYS DURATION. <br />