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r <br /> Date_ <br /> 6/7/95 TO POSTING <br /> �E522�Z <br /> Pubi¢WorstPuma• EESSYY22 <br /> ADplicahon For Bldg Dept <br /> PUBLIC WORKS PERMIT Pubbc WOrhx Fee __ <br /> TOW Fee s <br /> Lees 6001 Fee P.-, S <br /> Print or Type Only ijf�o eala"e Due s <br /> Dennis Petroleum 9826 7th Ave SE Everett 353-9701 <br /> OwnerMarling Andress ---1,n1 Lp p7 <br /> NormPoser (Columbia Const) 509-922-8114 <br /> Applicant Madmq Address - - - - _ -%I, Zip -- — Phone --- <br /> Describe Proposed Work Neu_warehouse <br /> _---------_ -- v 05/31/96 210" DOOA111604, W <br /> �_— <br /> Project Address(If known) �5=�0' ,S'f�S;Gc/_. — S5 _ Iris <br /> Attach four 14)copies of plans for proposed work Drat: la sral-,.Inn note the following as applicable. BLDG $3282.90 <br /> •Outline <br /> Property and <br /> di • Cdicate N of street <br /> SRCFIRD $4.50 <br /> • Outline and dimensions of all existing and • Indicate North N00008774 <br /> proposed structures on the lot • Show any proposed gradirW ITIEfu'i..u.} 460.00 <br /> • Existing and proposed utilities • Show mpasurements A00009773 M <br /> bU njUJ 4'x1:111. [if L n: nils I Irll N00030453 W <br /> PERMIT CONDITIONS SEWER $70,00 O <br /> 1.All calls for Inspection shall be made 24 hrs.In advance-phone 259-8810 S/SDE:V f"476.76 0 <br /> 2.All work shall be performed In accordance with this permit and current City of Everett DesiggDQj�nstt'.MV0D <br /> Standards and Specifications. g� <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800• - <br /> f35D.00 <br /> /Girt/ -1e; k L7mu, pZr Q�PI �,v PW/REV <br /> PLo.�s dates /9/� V/ s <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The underbigned owner/applicant hereby agrees to hold and save harm- <br /> 1L+55 the City of Everett from any and all claims for damages. costs <br /> gn <br /> expenses. or causes of action that may arise because of Installation <br /> I and maintenance Df the improvement or other tight-of-way use hereto <br /> applied for and further agrees to remove same upon notice from theproved Uatr I CCy and m rep), public property damaged thereby. <br /> FINAL INSPECTION Dat <br /> Approved as Constructed 10 nphcam Dale <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett.WA 88201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />