Laserfiche WebLink
��'e— 1 uo�.c WorMf Vermil• <br /> 6�ea o.n� . _ <br /> ACP!ication For <br /> PUBLIC WORKS PERMIT °°°:a,:F::`°° : <br /> LeffA00� Fee P��C S <br /> [bie�re Due S <br /> Print or Type Only <br /> Plan Check N�: B 38255 SEPA <br /> Applicat.Date: 10/OS/92 <br /> Jwner Job Ad�ner: CUSHINjGCTWONO RD BLDG BA phone <br /> Tenant: WF.SCo <br /> Propoeed Uee: OFFICE/WAAk:HOUSF. <br /> Geec. of Workt <br /> Applic:.nt T.I. - 2700SF Ph�^e <br /> OFFICE SET JOB sET <br /> Descrl6e Pn�posed Work __ — — <br /> APFROVED FOR PERMIT: DATe_/_I_ BY <br /> — �� <br /> � <br /> Project Add��ess(ii known) — � <br /> Alt.ich lour id)copies ol plane lor proposeC work� Oraw to scale and nole Ihe following as appliceble: �� <br /> • t�roperty Llnes • Cenlerlina ol sl+eet ♦� <br /> . � Outline and dimensions ol el;existing and • Indicele North V� <br /> proposed structures on the lol • Show any proposud gretling chenges <br /> • Existmg end G�oposed utliitlas • Show measuremenls � <br /> DO NOT WFITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells lor Inspection ahall be mede 24 hrs.in edvance-phon 259-8810. � <br /> 2.All work ehell6e parfarmed In accordence wilh Ihis peimit and current Clly of Evnratt Design erd Conetruclion <br /> Slandarda end Specillcetiona. <br /> 3.Cell Location Underground Service 48 hra.belore you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> � � / ..7 � <br /> �t/t - 1.. ..ic / . ,.,%,_ �f <br /> 1l�/>%�r «,. f, , l . <br /> ;,�;, � � � <br /> ��� � . � <br /> � <br /> a <br /> ArKNOWLEDGEMENi OF CONDI710NS <br /> The undersigned owner/epplicant hereby agrees to holJ end save herm• <br /> less Ihe City ol Everett fiom eny end ell claims lor demagea, costa, <br /> ezpenses, or causes ol action that mny erise bacause ol inslallatfon <br /> end maintenence ol the impiovemenl or other right�o�-wey use hereto <br /> epplied lor and further agiees to remove eame upon nolice Irom Ihe <br /> Appwved lor Conslruclion Date Clly end lo replace public property demagnd Ihoreby. <br /> FINAL INSPECTION Date --- p��c <br /> Approved as Conslrucled Signalure ol Applir.anl <br /> �Ar� WORK AUTHORIZCD BY THIS PEFMIT MUST BE $TARTE.'? WITHIN <br /> i'UBLICWJRKSDEPARTMENi 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Gn l:.r Streel BE DILIGENTLY PURSUGD TO COMPLE110N. THIS PEPMIT MAV 9E <br /> 7 Everett,WA 9820t CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�PB10 PROJECT OVER 90 DAYS DUPATIGN. <br />