Laserfiche WebLink
Date �„\ � PuClic Wo•'•e P��mit• <br /> Applicatio. 'or umy,oeo�.• <br /> PUBLlC WORKS PERMIT � P°°°°W°�k°F°° � <br /> Totel Fee S <br /> LaSs AOG�Fee Paitl s <br /> PahnceDue S <br /> Print or Type Ortly <br /> Plan Check No: B 40473 SEPA <br /> Applicat.Date: OS/04/93 <br /> Job Address: 4823 EVERGREEN WAY �6 <br /> Owner: MGMAB WA LTD PARTNERSHIP <br /> — Tenant: STYLESETTERS City Zip Phone � <br /> Proposed Uee: COMM <br /> Desc. of Work: <br /> TENANT IMROVEMENT <br /> — City Zip Fhqne ,� <br /> OFFICE SET JOfl SET �',_j� <br /> Dee.ci APPROVED FOR PERMIT: DATE_/_/_ HY <br /> � <br /> Project Address(if known) � <br /> Attach(our(4) coD�es of plans for proposed work- Oraw to scale and note the following as applicable: o� <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and � Indicate North <br /> proposed structures on ihe lot • Show any proposed grading cha�ges <br /> � Exi:tfng and proposed utilities • Show measurements /� <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t.All calls for inspectbn shall be made 24 hrs.in advance-phone 259-881 O. � <br /> 2.All work shall be performed in accordance with this permit a�d current City of Everett Design ard Construction <br /> Standards end Specificatlons <br /> 3.CaII Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•4245555. � . <br /> O <br /> PU►1LIC WORKS PERAAIT � <br /> NOT REUUIRED � <br /> BY ODATE -r � � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/appiicant hereby agreec to hold and save harm- <br /> less the City of Everetl from any and all claims tur damages, costs, <br /> � expenses, or causes of action that may ariso because of installation <br /> and maintenance of lhe improvement or other righl•of-way use hereto <br /> applied for and further agrees to remove same upon notice from the <br /> qpproved lor Construction Date �i�y and to repiace public property damaged thereby. <br /> FINAL INSPECTION Date Date <br /> Approved as Consiruded Signalure ot Applicant <br /> �� WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> 3200CedarStreet pE DILIGENTIY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> � Everett,WA 90201 CANCELLED BY TtiE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> �� � :� Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br /> � � . <br /> I ; <br />