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Da�e ' <br /> PUBLIC WbRKS PERMIT <br /> r„��� PUBIIC WOPKS DEPARTM[4T Public Works Pnrmlt 1 <br /> 9200 Cedar Strret <br /> Everett,WA 9H2O1 259-8810 Bullding Permfl M <br /> YPE OR PRINT ONLV - Fee t <br /> Plen Check Noi B 59215 SEPA <br /> Appllcat.Dete: il/21 97 <br /> Job Addre� 729 10 TH ST SE � <br /> Owner Owneri JOHNSON FAHILY LTD PATNA — phone <br /> Tenanti LABOR 6 INDUSTRIES <br /> Proposed Uee� OFFICE <br /> Deec. oE Works <br /> Applitanl - TENANT IMPROVEMENT Phone <br /> OFFICE SET JOB SET <br /> �escribe Proposed Work _ <br /> APPAVD FOR PERHIT� DATE_/_/_ BY W <br /> � <br /> � <br /> — --- �I/ <br /> 'ROJECT ADDRESS(ii known) _ __ _ � <br /> dtach lour(4)coples ol plans lor propoaed wurk-Oraw to scele end nota Ihe Iollowing II eppGcebie: <br /> •PropeAy Llnes �Outline anA dimansions ol all exls:ing and proposed structures on ihe lol �Ezlsting and propoead ulilltles O <br /> •Centerline ol slreet •Indicete�lohh •Show eny proposaA gra�fing changes •Show measuraments � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calis for inspection shall be made 24 hours in advance - phone 259-8810. O <br /> 2. All work shall be Ferformed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underpround Servlr,e 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> '1—^ <br /> V♦ <br /> O <br /> •uauo wi�nhi �r�w,. � <br /> MO1 q,Gily�A <br /> tv.�/_-�- 97_. <br /> ►�TE <br /> ` �__ - .•_.'- <br /> ACKNOWLEDGEMENT OF CONOITIONS <br /> The undersigned owner/applicenl hereby egrees to hold and seve hermless <br /> tho City ol Eve�ett from any and ell claims br demagns,costs,expanses,or <br /> Approvad lor Con:itruction Date causes ol action Ihat may erise because ol Inslnllation and malnlenarca of <br /> the improvemanl or other dghl-obway use hereto enplied lor end IuAher egrees <br /> to remova same upon notice from the Clty end to replace public property <br /> damaged ihereby. <br /> FINAL INSPECTION Dale <br /> Approved es Constructed <br /> SignaWre ol Applicant Dale <br /> :ORK.4UTHORI�[D BY THIS PERMIT MU�T BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE OILIGENTLV PURSUED TO <br /> :OMPLEfION.THIS PFfiM1T MAY BE CANCELLEU BY THE C�TY UPON ANV STONPAGE OF WOHK ON THIS PROJECT OVER 90 DAVS DURATION. <br />� <br />