Laserfiche WebLink
Date ( v�ouc wen.v.,,,n. � <br /> AOO���etlon For Bwy om�• <br /> PUBUC WORKS PERMIT ^�^�ww..�•. <br /> im.iree � <br /> 4���oo�rn v.a� I <br /> Prinl or Type Only e.w�.o,,. t <br /> I <br /> Plen Check Nw B 3/9575 SfiPA <br /> Owner APPJobn�ddw� 29021COLBY 7�VE Zip Phone <br /> Ovnet: SROTDAL AAT <br /> Tenantt DAIN BOSNOPTH <br /> Applicant �eec�ofdWorks OFFIC& SAPCE Zip Ppone <br /> TENANT IMPROVEMENT <br /> Desttibe Pr000seE WarM pFFICE SfiT JOB SET <br /> APPRVD FOR PERMIT: DATE_/_/_ BY i <br /> W <br /> Pmjecl AdOress pl Mnown) � <br /> Atiach Hur�4)copiea al plans lor pwposeE work-Oraw la ecalg enC nole I�e lollowing a5 epplicab�e: � I <br /> •Pmpetly lines •Centetline ol slreet /w �� <br /> •Oulline antl tlimenaions ol all e.isling antl •Indlcate North V♦ <br /> p�oposetl st�uc�urcs On I�e IOI •Show any propoeeE 8�a41n0�hanges <br /> •Eaisting and proposed ulilitiea •SIIOw mQ06W¢RI811�9 � <br /> DO NOT WflITE BELOW THIS IINE O <br /> PERMIT CONDITIONS <br /> 7.An cens Im�nscectbn enan bo made 24 nre.in ativance•phone 259•8810. � , <br /> 2.All work s�all be pedormeU In eccortlance wit�I�is permil and wnent Liry ol Everetl Deslgn antl Conatructlon <br /> Slandartls end SO����calloni <br /> 3.Call Location Underprountl Service 48 hrs belore you dlg.TOLL FREE NUMBEq 1•800-424•5555. � <br /> O <br /> PUBLIC WORKS P[RNIT � <br /> NOT REOUIRED ,w <br /> BV �� ��� <br /> OATE �� %'=� O <br /> a � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> iha unEersigneE owneqapplitant hereby aprees lo holtl anE save�arm� <br /> less Ihe City ol Everett Irom eny entl all clalms lor CamaBea cosls. <br /> e�0enses, or cause9 0l action IAat may arisa hecause ol Installailon <br /> anC mainlenance ol lbe improvemant or other tlghbo4way use�erelo <br /> ap0lietl br anG Ivrf�er agr¢e5 Io remove 9ama upan noli[e Imm I�a <br /> Appraved lor Consimclion Dale Ciry and lo replaco pu6lic propetly tlameBed t�ereby. <br /> fINAI INSPECTION Oato <br /> ApproveC a5 ConslruCted SiB"aiure al AOPlitant Dele <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZEO BY TMIS PERMIT MUST BE STARTED WITHIN <br /> J200CeearStreel 1B0 DAYS OF DATE PERMIT IS ISSUEO AND TMEREAFTER IS TO <br /> Everett WA08201 BE DILIGENTLV PURSUED TO COMPLETION.THIS PERh11T MAY BE <br /> Pnono:258�8810 CANCEL�ED DY THE CITV U PON ANY STOPPAGE OF WORK ON TNIS <br /> PROJECT OVEl7 90 DAVS Dl1HATION. <br />