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M-1 <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Describe Proposed Work <br />A • 'cation For <br />PUBLIC VS .ARKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32DO Cedar Street <br />Everett, WA 98201 259-8810 <br />I <br />Date <br />Public Works Permit N <br />Building Permit N _. <br />Public Works Fee S <br />Plan Check No: B 56935 SEPA <br />Appllcat.Date: 10//29 97 <br />Job Addreas: 1515 5TH ST SE <br />Owner: SPIEKER PROPERTIES Phone <br />Tenant: EMERALD BEVERAGES <br />Proposed Use: OFFICE <br />Deec. of Work: _ <br />TENANT IMPROVEMENT an„ar. <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE / / BY <br />PROJECT ADDRESS (if known) _ <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />"Property Lines 'Outline and dimensions of all existing and proposed structures on the lot OExisting and proposed utilities <br />•Centerline of street *Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed 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 1-800.424-6555. <br />�4*tlt;.�N�1P.K PcRMrt <br />III y <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />ca <br />O <br />z <br />O <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expanses, 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 at d further agrees <br />to remove same upon notice from the City and to replace public prooe.1y <br />damaged thereby. <br />Signature N Applicant Date <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 />