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Date 7/13/94 <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />.ii <br />POSTING AUG 45 iz <br />o` <br />PERIMIT <br />pO <br />q O oo O <br />O � ppO Q <br />CDccooN N CJol <br />1.R r- <br />•-I �y N <br />N <br />verett a gill 25M9-6042 <br />Publ¢ Work, Permu • <br />�z <br />Bldg Dept • 44903 <br />Public Works Fee <br />Total Fee S <br />Less spot Fee NO S <br />Balance Due s. Z2 <br />Owner Mailing Address uT•r, — r Phone <br />._�n <br />0 0[����s <br />Brian Sweeney 329-8300 or 526-5705 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work __Minor renovation of existing motel and construction of new kitchen <br />Project Address (it known) <br />----Z-5L-9-- <br />292i" Pine St <br />Attach four (4) copies of plans for proposed work . Draw to scale and nole the following as applicable: <br />• Property Lines • Centerline of Street <br />• Outline and dimensio,is of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />L <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 performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. <br />vt4 U"Clf r4f??41 LF <br />W api, <br />/ y <br />651t L✓ah <br />for <br />:Z — <br />FINAL INSPECTION <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phone: 259.8810 <br />zi <br />Date <br />-3 <br />W <br />■ <br />O <br />z <br />O <br />C4 <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant here'jy agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs. <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-ol-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />