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TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />etim For <br />PUBLIC VI'CiRKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Plan Check No: B 56903 SEPA <br />AppLicat.Date: 10/24/97 <br />Job Addrrees: 16220 4411 MARINE VIEW DR <br />Owner: WESTVISW BUILDING LLC <br />Tenant: LOMBARDI'S CUCINA <br />Proposed Use: RESTAURANT <br />Deec. of work: <br />TENANT IMPROVEMENT <br />Describe Proposed Work <br />OFFICE SET �JOB SET__ <br />APPROVED FOR PERMIT: DATE _/_/ <br />BY <br />Date I <br />Public Works Permit I <br />Building Permit e — <br />Public Works Fee $ — <br />PROJECT ADDRESS (;f known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />•Property Lines 'Outline and dimensions of all existing and proposed strictures on the lot 'Existing and proposed utilities <br />•Centerline of store- 'Indicate North •Show any proposed grading changes 'Show measurements <br />PERMIT CONDITIONS: <br />1. All calls 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 Desinn and <br />Construction Standards and Specifications. <br />3. Call Locatio,Li Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-300-424-6655• <br />�*URLIC WORKS ►GRbtl'r <br />$160womw <br />Approved for Construction mate <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ca <br />0 <br />z <br />0 <br />VJ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appticant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may adse because of Installation and maintenance�of <br />the improvement or other right-of-way use hereto applied <br />for and to remove same upon notice from the City end to replace pudic property <br />damaged thereby. <br />Date <br />Signature of Applicant' <br />WORK COMPLET ON.RHIS PERMIT MAY BE CANCELBLEDTBY HE CITY N 1 BO DAYS OF DATE PERMIT IS ISSUED AND THEREAl`7ER IS TO BE UPON DILIGENTLY <br />PURSUED TO <br />UPON ANY STOPPAGE OF WORK ON HIS PROJECT OVER 90 DAYS DURATION. <br />