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Date P„o�,�wa,..P.�m��. <br /> eiag oea� • <br /> Application For <br /> PUBLIC WORKS PERMIT P�����[WarvsFee <br /> Te�r��ee s <br /> Less�ooi F.e Panf $ <br /> ea�ance�uc $ <br /> Print or Type Only <br /> Plan Check No: B 44423 SEPA <br /> Appllcat.Date: OS/18�94 <br /> Job Addreea: 801 W TMORE AVE - - � <br /> pwne, Owner: EVERETT COMMUNITY COLLEGE P�°"'T <br /> Tenant: <br /> P�oposed Use: SCHOOL/OFFICE <br /> Desc. of Work: <br /> Applicant T.I. = REMODEL EXISTING OFFICES AND TOILET � Pnon=_ <br /> ROOMS <br /> OFFICE SET_ J08 SET <br /> Describe Proposed Work _. —��— <br /> APPROVED FOR PERMIT: DATE_/_/_ HY <br /> ---------------- ---- - W <br /> Project Address hl known� ._-----�---�------ � <br /> A�taCh�our 14)coP�es ot PITns fui UtOPJsOd wU'n � �riv: t:i>�:di.e dnO nidF Illd 'e�luwing as aoplir.ab�e. � <br /> • P�operly Lines • Centerlinn��f 5trev1 ♦A <br /> • Oulline and dimensions ol all eais;ing ann • IrCicabt Nor�h V� <br /> prpposed structures on Ihe lo� • Snow any r,reDoseA gratling chan�es <br /> • Ezislmo and proposed ulilities • Show measurements /�A <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8870. � <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.TOLI FREE NUMBER 1•800-424•5555. � <br /> O <br /> nUBLIC WORKS PERMIT � <br /> NOT REQUtRED � <br /> �Y ODATE � %'�` <br /> a <br /> AGKNOWLEDGEMENT OF CONDITIONS <br /> thN�.i��h?rs�aned owneriappiicant hereby agrees ro hold and save harm� <br /> ----""—"i iess ;he Cib� c� [vereU fr,>rn any anC ali ctaims lor damagea costs <br /> ; eYUe�ses or causes of actic��. Ihat may ans^ because of ms�auatien <br /> � -�- �ntl mamtenanr.e n! Ihe imf.�ovement or othe� nght-o�-way use �ereto <br /> — I a:pi �d lor anA �urth�+r ag�ees Io remove 5ame upon nolice ��om Ihe <br /> Approved tor Construction Qata � C;;y,�i�� to rep�ac2 pubhc property damaged thereby. <br /> i <br /> I <br /> FINAL�NSPECTIUN Date <br /> Approved as Conslructed Slgnature of Applicant Date <br /> INORK AUTHORIZED BY THIS PEFlMIT MUST BE STARTED WITHIN <br /> �A`I�� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE D�LIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everetl,WA98201 I CANGELLED BY THE CITY UPON ANV STOPFAGE OF WORK ON?HIS <br /> Phone:259�8010 PRO.IECT OVER 90 DAYS DURATION. <br />