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Dat� <br />Appllcatioi� F�r <br />PUBLIC WORK� PERMI� <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />Proiecl Addres.^, (it known) <br />Plan Check Wo: Ei 41436 SEPA <br />Applicat.Date: �7/23/9:1 <br />Job Addres��: 9217 EVERGREEN ti'A'L <br />Owne::: SCHNEIDER GARY 6 ANN <br />Tenanl: TOTAL RENTAL CENTER <br />Proposed Use: RETAIL <br />Desc. of Work: <br />MEZ2ANINE FOR STORAGE <br />OFFICE SET <br />SET <br />APPROVED FOR PERMIT: DATE / / <br />BY <br />� Publlt Woika Pormli � <br />� moo. Doa�. s _ <br />Pubbc Works Foo <br />Tolal Feo 5 <br />Lesa Ao�l Fae PeiE g <br />Oalanco Oue $ <br />ip Phone <br />Altach four (4) copies ol plans lor proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centedine of stree� <br />• Outline and dimensions ol all existing and o Indicate North <br />proposed structurr.s on ihe lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show me2surements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance- phone 259•8810. <br />2. All work shall be peAormed in accordance with this permit and current City of Everett Design and Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555. <br />'UBLIC �VGAKS FERid1T <br />NpT REOUIRED <br />BY.=���� <br />DATI_7. Zl-?�' <br />Approved for Conslruclion D�1e <br />FINAL INSPECTION Date <br />ApProved as Constructed <br />��A�23� PUBLIC WORKS OEPARTMENT <br />3200 Cedar Streel <br />Everett, WA 98201 <br />Phnne:259�8870 <br />� <br />� <br />� <br />ACi(NO\^:I.Ei�GEMENT OF CONDITIONS <br />The undersigned owner/applicanl hereby agrees to hold and sove harm- <br />less the Ciry ot Everett irom any and all claims for dama9e�, costs, <br />expenses, or causes of adion thal may arise because of installa'�ion <br />and maintenance of the improvement or othnr righhof-way use hereto <br />applied for and �urther agrees to remove same upon notice from Ihe <br />Cily and to replace public property damaged thereby. <br />Sianature of Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEC WITHIN <br />180 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS�TO <br />BE DILIGENTLY' PURSUED TO COMPLETION. THIS PE5�11T MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOHK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />