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��..�.`.,�.� <br /> Date 3�8�93 I <br /> �0 I�USTfNG f rf� PuOucWorMSParmrta ��� /13�8 <br /> AppllCation or Bieq.oeot.• 398 <br /> PU+3LIC WORKS PERMIT PUEIicWorMSFee - <br /> Totel Fpe �-�_ <br /> leas AOoI Fee PaiE S-__ <br /> Print or Type Only Baiance Duo g S 2 +�9 <br /> Group Health Cooperative 521 Wall St Seattle 98121 448-2355 <br /> Owner Mailing Address <br /> City Zip Phone <br /> Joe Neuenschwander 448-2355 <br /> Applicant Mailing Address City � <br /> Z�p Fhone--- <br /> Describe Proposed Work New facility and parking garage <br /> Project Ad n� 2930 Maole St � <br /> Attach lour(4) copies ol plans for proposed work• Dra�N to s�:ale and note ihe Iollowing as applicable: � <br /> � Property Lines • C,,�nterline of slreet � <br /> . � Outline and dimensions of all existiny ami • � <br /> proposed structures on the bt • Intlicate North <br /> • Existing and proposed utilities � ShoW any proposed grading chan�;es <br /> • Show measurements <br /> DO NOT WRITE BELOW THIS LINE m <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shell be madi+24 hrs in advance•phone 259•$810. <br /> 2.All work shall be pertormed in accon'ance with this permit and current City of Everett Design and Construct(on � <br /> Standards end Specifications. <br /> 3.Cali Location Underground Service JB hra before you dig.TOLL FREE NUMBER 1•500-424•5555. <br /> S� C�/v�.z'� � d�..� ,�:�,a��. �,�n.�.� �„ " Z <br /> � � � � £�.tR ��6-�. �-�.- d-� 5�i<-�.� � <br /> %�..c�o-,. <br /> f��� <br /> .S. ,S.ew.e� eo��� ;,, .-��ya.P. .rx� �:df l�.e, 6a.�,�-c�'�/� ��"/� <br /> l�.�f..G co�.z�al��.-�.f� 6�t�.�,�� v� <br /> i U, ��1 SSctYrwa.� ' ' o <br /> �i /14��a(-rc�,^zc's�7� �mt� h-i� �e .�Y� $'/)�c.E�f ,L��.c�t�' <br /> �� -�e.�.u� ��.,�u�� �-� �`�� .���,«.�� � a <br /> d����o �� �-,�, �t�� ���� ,�;����� . <br /> ACKNOWLE!)GEMENT OF CONDITIONS <br /> The undersigned owner/3pplicant hereby agrees lo hold and save harm• <br /> less tha Cily of Everett Irom any and all claims foi damages, costs, <br /> � expenses, or cai�ses ol action that may arise because of installation <br /> / 2� 93 and maintenance of thc improvement or other righFobway use hereto <br /> A proved for Con ru ion applied or and further agrees to :emove same upon notice from the <br /> Date {� replace public property damaged thereby. <br /> �r--."—__ �-S'-r <br /> FINAL INSPECTION Date � ��t�— C C'� <br /> Approvetl as Consiructed ' � . <br /> �9� �� AP nt D te <br /> PUBLIC WORKS DEPARTMENT WOR AU7HORIZEO BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 78 DAYS UF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA g8201 BE DILIGENTLY PU�iSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phon�:259-L1810 CANCELLED BY TI1E(;ITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 9G DAYS DURATION. <br />