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Date 10/07/94 <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />TO POSTING <br />i:, <br />PERMIT <br />c <br />Cj <br />y. <br />i <br />KOEHLER FAMILY PARTNERSHIP 3319 COLBY AVE iI305 <br />fJ p <br />� in <br />L"J ' ' <br />�� <br />f Pob�m \Ymks Pn�mll v p/� ��vJ y� / <br />Z �� C�. . I AIt19 OcOt a_�S]yy <br />Fu1J¢\Yor«sFue S <br />Tntal r�c <br />LeSi Anul. Fee Fa�� $ �% �� 7 <br />B� lanc�i(1��;� Q rcY _LL{LL{r /� <br />C� [,. �_I C•' ( i <br />�; ;�� �u -' °` <br />c� r' <br />„ r' <br />Owner i\9a�;inr; Ar:Jiess -. -,.Cli�)' u u'n- i-i i��7� ci. <br />•,i c� (� �:... i, i r.-� i, i�. � i,7 0 <br />[l O O fi CI 1..._ CJ ' L'i {.-. .Ti <br />BOSTON CHICiCEN Vince Berndsen 646-326,4 r' �- � G;' `i `_�•,': i;' '�:I � J <br />ApPlicant M;,��Iin:;Addre,s Crtv Lip <br />DeSCriUe Proposed Wark <br />.. —_ — ��..� <br />Project Address lif known! 7407_Evergxeen Wy____ _ <br />Attach four (4� copies of plans- fo� Uroposed wo-� � Drav: to �-:aln ani ncte ihe !clluwmg as applicah�e: <br />• PropertY Lines <br />• Outlin� and dimensions of all existing and <br />proposed strucWres on thc lot <br />• Exisling and proposed utilities <br />�; i,� �`_ �Phonc <br />I�.I Cr_ �" � L� <br />] � I�l <br />t-- :2 -i 'S. <br />r.i _._ r�. i_� <br />Phone <br />• Centeilinn of Sireet <br />• Indicale Nor�h <br />a Shnw any r,roposed 9ratlmc� chanyrs <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-8810. <br />2. All vrork shall be pertormed in accordance with this permil and current City ol Everett Design and Consiruction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800•424-5555. <br />��. %�.� a��a,�.t� n/c�s �,le� /2�s-9'� <br />/ <br />PUBLIC WORKS DEPARTM.ENT <br />3200 Cedar Streel <br />Evere�t, WA 98201 <br />Phone:259�8810 <br />ACKNOWLEDG[MENT OF CONDITIONS <br />W <br />� <br />_ / <br />� <br />� <br />� <br />� <br />� <br />a <br />Thn unAr-rs��ned owner/appLcant hereby agrees to ho!d and save harm� <br />less th.: Gity ef Everetl lrom any antl all claims for dama9cs, costs. <br />c-zpenses. or Causes ol action that rnay ans= because of installation <br />and mamtenance n! the improvemenl or other righl-ol-way use hereto <br />apphed for and �uriher a9rees lo remove samr, upon nolice from lhe <br />�C�'v ;i;d o replace publ�c property Jamaged Ihereby. <br />il��r�-�- �Z"(' �'1-l/, <br />Sinnatwe ol Applican! Dale <br />1N09K AU7HORIZED BY THIS PERYIIT MUST BE STARTED WITHIN <br />�90 DAYS OF DATE FERMIT IS ISSUED AND THEREAFTER IS TO <br />ffE DILIGEWTLV FURSUED TO COMPLETION. THIS PERMIT IdAY BE <br />GANGELLED BY THE CITY UPON AN1' STOPPAGE OF WORK ON THIS- <br />PROJECT OVER 90 DAYS DURATION. � <br />