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TYPE OR PRINT ONLY <br />qpplication For <br />PUBLIC WORKS PERMIT <br />PU9LIC WORKS DEPAFitMENT <br />3200 Cedar Stteat <br />Everett. WA 98201 259-8810 <br />TO POSTING MAY 13 1� <br />oete 1-26-96 / <br />PuWic Works PertnR M "11(i�Z� I . <br />Building PermM N 50727 <br />�, � <br />Public Nbrks Fee S "' <br />Len Roberts 2110 Pacific Ave Everett WA 98201 258-4111 <br />p�a_ MailingAddress City Zip Pho^8 <br />Newland <br />Describe Proposed Work <br />�or Devon at Sotesch, Nash 6 t�all <br />new office building <br />PROJECT ADDRESS (if known) 31 � <br />06/10/96 12:29FN <br />y�Ue• SRCHRG Sr.50 <br />Attach tour (4) copies of plans for proposad work • Draw to scale and note the folfowing ii applicable: k�0046c"Ol <br />'Property Lines `Outline and dimensions of all existing and proposed structures on the lot •Existi�g and p� ulilitief66.00 <br />PW/REV f99.D0 <br />'Centerline of street •Indicata North 'Show any propnsed grading changes •Show measurements �/ � �� m <br />DO NOT WRITE BELOW THIS LINE N00008944 <br />PERMIT CONDITIONS: CSTEST t1429.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. qppppgy43 <br />2. All work shall be pertormed in accordance with this permit and current City of ��tt Des�i�y?� <br />Construction Standard� �nd Specifications. 1100030645 <br />3. Call Location Underground Service 48 hrs. be�ore you dig. TOLL FREE NUM��-80�-�;�• <br />CHECI( 57389.27 <br />�. �s p� a�r���d p►���s �ti+� �/�q/ti� <br />5, �;rc. s, 1�kle„� ye�v;c� Dc1�A �� c�� s�-d <br />�'l�Z�✓1 �jl$—�os+;h�;ca-I-�n� �tivc. zvtd F7rtde�.f�',,,�,.i' <br />,, <br />u,,,nu�'�n as �r F�rc. �,.�a�'c�'►a�(S e�r�ra, z,, . <br />4� i��p IZ,c� �bro,�� o �� mz�d �/� f o�' eX,z fi i. <br />c��Yb.9��-��� S;dc� �k o`�' ,�sf�r� �I�,-n�� 6/� <br />r� <br />rwp�o�ea � caoswocea <br />� c, t� c� �a��a �c dp /G' nt. <br />r <br />S <br />� /`�f <br />� <br />O <br />� <br />� <br />0 <br />a <br />ACKNOWLEDGEMEtvi OFCONDITIONS <br />lhe undersigned owner/applicant hereby agrees to Mld and seve harmless <br />the City of Everett from any and all claims for denwpes. costs, expsnses, or <br />causes of action that may arise beceuse ot Installetion and malntenanea of <br />the improvement or other right-ot•way uae haMo epW�ed lor and hMhx aG�ees <br />to a me upon no trom Me Cily end to replace WbNc W�P�Y <br />d a t <br />� le-`� <br />SIg�aNre oi Applicant �° <br />'NO,R L� N.RT}iIS PERMIT MAY BE CANCELL.EDTBY THE CITY IUPON ANY SOTOP GE OF WORK ON lNIS PRQI CTEO ER 90 �MYS WRATION•Y PURSl1E0 TO <br />