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Date <br />Applicatiot. For <br />PUBLIC WORKS PERMIT <br />Print or Type Only Plan Check No: <br />B 46225 SEPA <br />Applicat.Date: <br />11/15/93 <br />Job Address: <br />1020 LOTH ST <br />Owner: <br />NORTON PROPERTIES <br />Tenant: <br />O & W GLASS <br />Proposed Use: <br />BLOW ROOM <br />Owner Desc. of Work: <br />ADD BLOW ROOM <br />TO EXISTING STRUCTURE <br />Applicant <br />Descril.q Proposed Work _ <br />Project Address (if known) <br />OFFICE SET _JOB SET <br />APPROVED FOR PERMIT: DATE / / BY <br />Public Works Permit <br />Bldg. Dept. e <br />Public Works Fee <br />Total Fee $ <br />Less APPL Fee Paid $ <br />Balance Due $ <br />p Phone <br />p Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Centerline of street <br />• Indicate North <br />• Shcw any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 his. in advance - phone 259-881 O. <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. TOLL FREE NUMBER 1-800-424.5555. <br />?UBLIC WORKS PERMIT <br />NOT R QUIREF# <br />yy <br />lATE // /- '-- <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />JVW77PUBLIC WORKS DEPARTMENT <br />- 3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8810 <br />0J <br />r� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />