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� APFI:ca�ianFor .� ''� <br /> PUBLiC WORKS PERMIT Date 6/17/98 <br /> PUBLIC WORKS DEPAIiTMENT Public Works Pertnit# � //�Q� <br /> 3200 Cedar Street — <br /> Everett,Wq 98201 259-8810 Building Permit N 859181 <br /> TYPEORPRINTONLY 'rC p(��T�NG DEC 0 4 2000 publicWo�ksFee$ ��O <br /> i � . _--- <br /> TiZDEL GREG 2118 38TH AVE EVEREI"T IdA 98201 258-2331 <br /> Owner MailingAddress City Zip Phone <br /> CONTACT• GARY O�LEAF.Y 259-3161 <br /> Apphcant Mailing Address City Zip Phone <br /> Describe Proposed Work CONS'PRUCT NEIJ WAREHOUSE <br /> W <br /> � <br /> � <br /> PROJECT ADDRESS(if known) Z��Z '- �'1 5� � <br /> Attach tour(4)copies of plans tor proposed work-Draw to scale and note the lotlowing if applicable: � <br /> •Property Lines butline and dimensions o(all existing and proposed siructures on the lot •Existing and proposed utilities � <br /> 'Centerline of street •Indicate Norih •Show any proposed grading changes •Show measuremenis <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in aavance- phone 259-8810. <br /> 2.All work shall be pertormed 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 /> `�• �5 �w ��ZvN G�G{� l/ '�19�• � <br /> _ : � <br /> ^�60.,. �. <br /> 4.. - <br /> �OV.:' <br /> ,.�77.. . <br /> 1GG� <br /> . . ?JD. <br /> 31'c,= <br /> ��ER 'r'�.�. <br /> �1� TTt S.II�..,''.�� <br /> Y"',:. . <br /> "•.�l �.. <br /> ACI<NOWLEDGEMENT OF CONDITIONS <br /> > The undersigned ownvr/applicant herehy agrees to hold and save harmless <br /> � � lhe City of Everelt from any and all cl,ims for damages,wsis,expenses,or <br /> Ap q ed for Cons lo,.; � causes of action that may arise because of installation and maintenanca ot <br /> � �� lheimprovementorotherright-of-wayuseheretoappliedforandfurtheragrees <br /> � to remove same upon notice from the Ciry and to replace public property <br /> u l� ��� l,_ � . Oo _ damaaed thereby. <br /> FIN L INSPECTION Date V' l` <br /> Approved as Constructed � <br /> .3 /Z , <br /> Signawre of Applicant Da <br /> VJORI:AUTHORIZED BY THIS PERMIT MUST BE STi:RTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEO AND EREAFfC7 IS TO BE DILIG[P1TLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MP?'BE CANCELLED DV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVQN 9D DAYS D�RATION. <br /> ----- � . ._�.,..._....m..-.-,..._... - <br /> .-rn-_ �,,.,--^---.. <br />