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Date ' _ <br /> Puei::Wark�permit• <br /> Application =or �� <br /> BIOq.D��DI.• <br /> PUBLIC WORKS PERMIT P����cWork�Fee <br /> To�el Fea s- <br /> Leu AppL Fse P�iC S-� <br /> Print or Type Only 8.�.��.o , s-- <br /> Plan Check No: B 41988 SEPA <br /> Owner Applicat.Date: 09/10/93 <br /> Job Addre: 350b T$RyINqy Ay� <br /> Owner: PORT OF EVERETT Phone <br /> Tenant: <br /> Propoeed Uee: LOADING DOCI( <br /> Applicant Deec, of Work: <br /> SOUTH TERMINAL BERTH EXTENSION Phone <br /> Descrtbe Proposed Work _ OFFICE SET <br /> � �JOB SET <br /> APPRVD FOR pERMIT: DATE <br /> _�_,/� BY <br /> PrOject Atldress(if known) � <br /> Attach four(4)copies of plans for proposed work-Draw to scaie and note the following as applicable: � <br /> • Properly Lines • Centerline ol street � <br /> • Outline and dime�sions of all existing and • Indicate North � <br /> proposed structures on the bt • Show an <br /> • Existing and proposed utilities Y P�oPosed grading changes <br /> • Show mezsurements <br /> DO NOi WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspectfon shall be made 24 hrs,in edvance•phone 259•8810. <br /> 2•All work shall be peAormed in accordance with this permit and current City of Everett Design and Cunstruction ' <br /> Standerds and Specilicetlons. <br /> 3.Call Location Underqround Sarvice 48 hrs.before you dig.TOLL FREE NUMBER 1-800�424•5555, <br /> � <br /> ., O <br /> �':1BLtC WORKS PERMIT � <br /> NOT REOUIRED <br /> i3 Y � � <br /> OATE � C y��� <br /> � O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the Cily ol Everett from any and all claims for tlamages, costs, <br /> ezpenses, or causes of action that may arise because ot installation <br /> and mainlenance of Ihe improvemenl or other�ight-of•way use hereto <br /> Approved for Construction Date apPlied tor and further agrees to remove seme upon notice from the <br /> City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature ol qpplicant Date <br /> PUBLIC WORKSDEPARTMENT �'�'ORK AUTHORI2ED BY THIS PERIv11T MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everet4 WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. 7HIS PERMIT MAY BE <br /> Phone:259•8870 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> � PROJECT OVER 90 DAYS DURATION. <br /> . ._. —___.___ <br /> __ ___—_ ------ <br />