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Date <br />For <br />1, <br />Application <br />PUBLIC WORKS PERMIT <br />Print Or Type Only <br />Plan Check No: B 44111 SERA <br />Applicat.Date: 04/15/94 <br />WETMORE AVE <br />Job Address: 2802 <br />Owner: PORT GARDNER PARTNERS <br />Tenant: <br />Proposed Use: OFFICE <br />Owner <br />Desc. of Work! <br />TI FOR 4TH 6 5TH FLOORS <br />Public Works Pelord e <br />Bldg DCpt. • <br />Public Works Fee S <br />Total Fee <br />Leas Appt Fee Paid $ <br />Balance Due S <br />Zip Phone <br />Applicant OFFICE SET_ JOB SET _ Z'p <br />APPROVED FOR PERMIT: DATE_/_/_ BY - <br />Describe Proposed Work <br />Project Address (if known) <br />Attach four (4) copies of plans for proposed wort. - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance -phone 259.8810. <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 />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. <br />,,UBLIC WORKS PERMIT <br />NO 6REQUIRED <br />BY <br />DATE <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />approved as Constructed <br />!Cy../ PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />N <br />Im <br />O <br />n <br />z <br />O <br />■ <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs, <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 />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of C.pplicanl Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED 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 />PPn.IFCT OVER 90 DAYS DURATION. <br />