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�� <br />TYPE UR PRINT ONLY <br />ppliwtlan For <br />PUBLIC JORKS PERMIT <br />PUBLIC WORKS DEPARTMFNT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Plan Check No: B 51164 <br />Applicat.Date: 12'22/9g SEPA <br />Job Addre: 790� FVERGREEN WAY <br />Owner Owner: SM INVESTMENTS <br />PropoeednUee: RESTAURANT/LOUNGE/CASINO <br />Deec. of Work: <br />Applicant CONVEgSION TO CASI:;O <br />Describe Proposed W <br />OFFICE SET JOB SET <br />APPRVp FOR PERMIT: DATE <br />_���� BY <br />PROJECT ADDRESS (if known) <br />Attnch four (4) copfes of plans fur proposed work - Draw to scale and note the following if appltcahie: <br />D� <br />Public Works pertnit # _ <br />9uilding Pertnit # <br />Public Works Fee $ <br />p Phone <br />Ip Phone __ <br />�?roperty LJnes •Outline and dimensions of all existing and proposed siructures on the lot •Existing and proposed utilities <br />•Centertlne of slreet •Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All cails 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 1-800-424-5555. <br />Approved (or Construction Oate <br />FINAL INSPECTION Date <br />Approved as Constructed <br />'UQLIC WpRK <br />,7y ��R��iUIR6bR�lil�' <br />---�k� <br />�qTF. C -� <br />— �,�g��g '�� <br />ACKNOWLE�GENEM'OF CONDI110NS <br />The undersigned owner/appllcant hereby agrees to hold and save harmless <br />the City of Everetl from any and all claims tor damages, costs, ezpenses, or <br />causes of actfon that may arise 6ecause of Installation and maintenance o( <br />the tmpmvemenl orother righbof-way use hereto applied for and further agrees <br />to remove'same upon notice fmm the Ciry and lo replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED 8Y THIS PEflMIT MUST BE STARTED WITHIN�180 DAYS OF DATE PERMff IS ISSUED AND THEREAFfER IS TO BE D�LIGENTLY PURSUED TO <br />COMPLE'fION. iH15 PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />