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Date � <br />APPlicallon For <br />PUBLIC WCSnKS PERMIT <br />Print or Type Only <br />�, v�eucwo�.. r.,mu . <br />� a�� o.o�. <br />Pu01¢WerpiN S, <br />Tapl Poa <br />L<t� �Ppl Fea Pu0 5 <br />e.i.��. o�. 5 <br />Plan Check No: e 41728 SEPA <br />Appllcat.Date: OB/16/93 <br />.7ob Addrs: ;800 EVERGREEN WY <br />Owner: R 6 W PAOPERTIES :ip Phono <br />Owner Tenant: REVORD JEEY EAGLE <br />Propased Uce: OFFICE ' <br />oesc. of Woric: <br />AGPliwnt <br />Oesciibe Pmposed Work <br />Pralecl AGEress �il known) <br />PLACE M06ILE OIJ LOT FOR USE AS ACCOIINTINC <br />OFFICE .�p <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_/_/_ BY — <br />Atlach four (4) copies ol plans lor propo5etl work - �raw �o stale and nale the lollowing as appliwble: <br />• Property Lines • Centedine olSVeel <br />• Outlina and dimensions ol all ezistlnB antl • Indicato Nart� <br />proposetl siruclures ontholot •$how any proposed gra0ing chanBes <br />• Eals�ing and proposed wi; �ies • Shaw measuromeNs <br />PERMIT CON�ITIONS <br />1. All calis lor inspection shull bo matle 24 hrs In ndvance • phona 259•8810. <br />2. All work shall 6e perlormed in accordanco wilh this permit antl cunent Cily of Everetl Design and Constructlon <br />Slandafd5 antl Specifitations. <br />3. Call Lxation Underground Service 48 hrs 6elare you dig. TOLL FFEE NUMBER 1•800•424•5555. <br />pUDLICTW�R a <br />BY N� �EQUIREORMIT <br />OAT���/� <br />2/ P� <br />APO/�vCtl lo� Con5l�uCtiOn Da�e <br />FINAL INSPECTION Datc <br />ApProved as Conslmcted <br />�PUBLICWORKSDEPARTMENT <br />Iv�3200Cetlar5lrcet <br />Evereit Wq 98201 <br />Phone 259�tl810 <br />ACKNOWLEDGEMENTOFCONDITIONS <br />W <br />H <br />N <br />� <br />� <br />a <br />The untlersiqnetl owneqapplicant �ortby agrees lo holtl and savo harm� <br />less tlio Ci1y ol Evereil Imm any and all claims for dama0es, oostw <br />ezpenses, or wusos ol action Ihal may arisa bewusn ol in5lallailon <br />and mainienance ol Ihe improvement or olhar iig�l�o4way use hemto <br />applied lor and Iur�bM agrees b removo same upon natice Irom Ihe <br />Ci�y and Io replace public pm�erty tlamaged �hereby. <br />Signature ol Applicant Uale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTE� WITHIN <br />100 DAYS GF [1ATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE OILIGENTLY PURSUED TO COMPLETION. THIS PERIAIT MAV �E <br />CANCF.LLEO BY THE CITY UPON ANY S70PPAGE OF WOflK ON THIS <br />PROJECT OVER 90 CAYS DURATION. <br />