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Date <br />Application Fcr <br />PUBLIC WORKS PERMIT <br />Print or Type Only Plan Check No: B 45210 SEPA <br />y Applicat.Date: 08/09/94 <br />Job Address: 1515 STH ST SW <br />Owner: EVERETT INDUSTRIAL ASSOC <br />fidlhc wp1Ye Permit <br />sing Deer e <br />PVbIK WOne Fee <br />Total Fee S <br />LIF, April Fee Pod S - <br />SAIS.Ce Oue 5 <br />Tenant: MEDIA TECHNOLOGY <br />Proposed Use: WAREHOUSE <br />Ownnl Deac. of Work: Ln Phone <br />DEMO OF EXISTING LOADING DOCK, NEW OVERHEAD <br />DOORS, DOCK LEVERS, RETAINIFG WALL <br />OFFICE SET JOB SET <br />Applicant <br />APPROVED FOR PERMIT: DATE_/__/_ BY <br />Describe Proposed Work <br />Zrt Phone <br />Project Address lit known! <br />Attach four (4) copies of plans for proposed work • Draw to scJIP- <br />drld note the following as applicable. <br />• Property Lines <br />• Centerline nt street <br />• Outline and dimensions of an existing and <br />• Indicate North <br />proposed structures on the for <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />LI <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259.8810. <br />2. All work snall 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 this. before you dig. TOIL FREE NUMBER 1-800.424.5555. <br />PUBLIC WORKS PERMIT <br />NOT REOUIRED <br />'1 Y <br />.)ATE — <br />Approved for Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />CIL <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />Date <br />L G� <br />Whe <br />s� d. <br />ro PGA <br />ra' Lh4,rs�'• G <br />p, e <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tt <br />M0 <br />W <br />0 <br />M) <br />z <br />0 <br />r <br />U) <br />0 <br />a <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 />appurld 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 15 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 />