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pikatlon Fer <br />PUBLIC ORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />TYPE OR PRINT Of ILY <br />Owner Mslli <br />Malli <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Plan Check NO: <br />Appllcat.Date: <br />Job Addreee: <br />Owner: <br />Tenant: <br />Proposed Use: <br />Deec. of Work: <br />T.Z. <br />B 53503 <br />11/13/96 <br />14 5 5TH ST SW <br />SABEY CORP <br />CONTOUR AEROSPACE <br />MFG <br />.] <br />Public Works Permit 4 <br />Building Permit e <br />Public Works Fee S <br />SEPA <br />OFFICE SET JOB SET__ <br />APPROVED FOR PERMIT: DATE_/_/ <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />Phone <br />"Property Lines 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />'Centerline of simet "'Indicate North 'Shore any proposed grading changes •Show measurements <br />NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-8610. <br />2. All work shall be performed in accordance with this permit and current City of Everett Desigr 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 />I uk (I c. OW k S i" tik+ K-eb. <br />Approved for Consi uctlon Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />r� <br />W <br />FM <br />01 <br />z <br />O <br />�FM <br />V) <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmiess <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the Improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public properly <br />damaged thereby. <br />Signature of Applicant Dote <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />