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TYPE OR PRINT ONLY <br />Owner <br />Aoplkaoon For <br />PUBLIC V 3RKS PERMIT <br />M <br />Applicant M <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259.8810 <br />Data, <br />Public Works Permit N <br />Building Permit N <br />Putlk Woks Fee $ _ <br />Plan Check No: B 51317 SEPA <br />Applicat.Date: 04/03/96 <br />JJob Address: 2802 NETMORE AVE <br />Owner: PT GARDNER PARTNERS <br />Tenant: COGSWELL COLLEGE <br />Proposed Use: OFFICE <br />DeBC. of Work: <br />T.I. - FLOOR 1 AND PARTIAL FLOOR 2 <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />Attach four (4) copies of plans 'or proposed work - Draw to scale and note the following it applicable: <br />•Property Lines 'Ov and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />'Centerline of stm • •Indicate North -Show any proposed grading changes •Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection 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 Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />INITIAL INSPECTION 'd����l� c� <br />KIRK BROOKS S <br />GATE <br />Approved for Conswction Date <br />F VAL INSPECTION Date <br />Approved as Constructed <br />F <br />"LIBLIC WORKS laS11Yt1 <br />/-� NOS EOU/I1ip <br />BY <br />/ SATE.-�V <br />W <br />�a <br />co <br />0 <br />z <br />0 <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes 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 />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />