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8/13%a4 <br /> DetB ,3/ <br /> Puebc WorY�Parmll• <br /> Appiiwtion For euo ow�-• 84/137 0 _ <br /> PUBLIC WORKS PERMIT P��im�FseFee � a�,,�, — <br /> Lau�ooi Fee?nC � <br /> Print or Type Only B�I�nceDue s 1G,G�o _ <br /> Bargreen Cash 6 Carry 3621 Rucker Everett 98201 252-3161 <br /> Owner Mailing Address City Zip Phone <br /> Same <br /> AppliceM Mailing Address City Zip Phone <br /> Remodel for Office and Warehouse Use <br /> Describe Proposed Work <br /> Proiect Address(il known� 353� Smith Avenue � <br /> Attach lour(4)copies of plans lor proposed work� Draw to scale anA note ihe tullowing as apPhcable: � <br /> • Property Lines • Centerline oi st�eet � <br /> • Outline and dimensions of all existing antl • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremenis � <br /> 00 NOT. WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> t. All calls lor inspectiun shall be made 24 hrs. 1n advance� phcne ?$9•881 5. � <br /> 2. All wo!` ^hall be perlormed in accordance with this permit and cw rent Gi1y ol Everett Design and Construction � <br /> Stendards a�d Specifications. <br /> 3. Call Location L'.;derground Service 4B hrs. belo�e you dlg.TOLI FREE NUMBER 1•800•424•5555. ~� <br /> Z � <br /> �"' CF /.vAC�e<t 'A� S�1 d L L .L'C ia�f���.� 1✓flCi�E� A,'C., O <br /> LAn.•D SC��.v( iS ;�ilc��-.sED, <br /> i ,qS f�E,�' Ple�t/ OdTC/] � y k <br /> �\ .4i�D /-1.'�i�2Ul/ED �/ ,w �, � <br /> � —� �,,tios�.o� 9 - a�- Bs� O � � <br /> � � <br /> � � .. - -- _ — ------ — � � <br /> a ! <br /> � �p <br /> � � . <br /> N,i1[,C6�,q j/ —� �� Cy � <br /> --�"�'' t �- ACKNOWLEDGEMENTOFCONDITIONS H � <br /> .� r <br /> ___ The undersigned owner/applicant hereby agrees to hold and save harm- '1 , <br /> less Ihe City ot Everetl Irom any and all claims br damages, costs, O ; <br /> expenses, or causes ol acfion that may arise bewuse ol installation "' � <br /> � /'� i��.�__ `,���/,�y and maintenance of Ihe improvement or other nghbobway use hereto � � <br /> �—G—' applied lor and further aprees to remove same upon nohce Irom the <br /> Approved lor Lcostruction Date City and to replace public pmperty damaged thereby. � , <br /> —�7 <br /> ��--��a'f� o2G� d_ � 9 ' � � <br /> . i/- >' � � : <br /> FI IN PECTION � Date � � - ���-?.Z - �i � <br /> Approved as Constructed � � <br /> Siqna�ure ol�, plicant � / �ate <br /> everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED �H�S ERMIT NUST BE STARTED WITHIN � <br /> O 3200CetlarStreet ./�80 DAYS OF �ATE PERMIP S ISSUED AND THEREAFTER IS TO <br /> Fverrtl. WA 98707 �[ DILIGENTLV PURSUED TO GOMPLETION. THIS PERMIT MAY BE <br /> i���:��ne� 259-P815 CAIJCELLEO BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br /> i PqOJECT OVER 50 DAYS DURATION. <br />