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. <br /> � <br /> Date �ueic worxt Permn• <br /> Application For I 9�o�.• <br /> PUBLIC WORKS PERMIT °�°��w°�.`~ <br /> rotei Fee s <br /> �n��oot Fw auc 3 <br /> 8aunn Due f <br /> Print or Type Only <br /> Plan Check No: B 27335 <br /> Applicat.Date: 07/16/91 <br /> Job Addreee: 28b1 WETNORE <br /> Owner Sepa Numbers P�one ' <br /> Ownar: CSG PARTNERS <br /> Propoeed Uee: RETAIL / OFFICE <br /> Deec. of Work: <br /> Applicant 4�500 SF TENANT IMPROVEMENT Phona <br /> OFFSCE SET JOB SET <br /> pencrtDe Propoaed Work _ APPAOVED FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Projeet AdE�esa(if known) � <br /> Attach lour(4)copbe of plane for Droposed work-Drew to scale and note the following as applicable: � <br /> • PropsrtY Lines • Centedine ol street � <br /> • Outline and dimenaiona ot all existfng and • Intlicate NortY� <br /> propoeed structuroa on Ihe lot • Show eny proposed gra0ing cnanges <br /> • Exleting end proposed utllitlea • Show measurementa � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 7.All calls for inapecrion shell be mede 24 hrs.in advence-p�one 259$810. � <br /> 2.Atl work ahall be peAormed in accordence with this permit and curtent Cicy of Everett Design and Construction <br /> Standards an0 Specffiutlona <br /> 3.Call Location UnderprounE Servica a8 hra.beforo you aip.TOLL FREE NUMBER 1-800�4245555. � <br /> �<l�.�'c <a�b�..� ��ar�+-�,2J�L` ��-u,�"'� O <br /> ��� ~ <br /> �-.�- �i N <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The unCersignetl owner/epplicant herehy agreea to holtl and save harm• <br /> less t�e City of Everett trom any and all claima for Cameqea costs <br /> expenses, or causes ol action that may ariae beceuae ot installetlon <br /> and maintenance oi G:� imprrnement or other nght•ohway uae hereto <br /> applied tor and lurther agree5 to remova sBme upon nOtice Imm Ihe <br /> ipproved for Consfruction Dete City antl ro reptace public prooerty damaged thereby. <br /> =1NAl INSPECTION Oate <br /> apOroveC as ConsVutted ' Signature of Applicant Date <br /> WORK AUIHORIZED BY THIS PERMIT �IUST BE STARTED WITHIN <br /> PUBLICWORKSOEPARTMENT ;80 DAYS OF DATE PERMIT IS ISSUED ANO THEREAFTER IS TO <br /> 3200CatlarStroet BE DILIGENTLY PURSUED TO COMPlET10N. THIS PERMIT MAV 8E <br /> Everett WA 98201 CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-BB70 PROJECT OVER 90 OAYS DURAT�ON. <br />