Laserfiche WebLink
�_ �. _ _ <br /> Date � I Pupl¢WOA�Permn• <br /> AppllcaY,on For eiea.o.m.._ <br /> PUBLIC WORKS PERMIT °�°To`:FseFee � _ <br /> Lse�AaP�ie�P��e { '_ <br /> Print or Type Only e.u�.o�. f <br /> Plan Check No: B 42200 SEP1� <br /> Owner Applicat.Date: 09/29/93 <br /> Job Addreee: 3411 COLBY AVE Phone <br /> Owneri DENO MILLIKAN DALE DECKER . <br /> Tenant: <br /> Propoeed Uees OFFICE <br /> Applicant Deec. of Work: — <br /> T.I. - CHANCE FROM DENTIST OFFICE TO LAW Phone <br /> OFFICE <br /> Deecribe Preposed Work _ OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE�/_/_ BY_ <br /> W <br /> PrOject Ad!' �;,s pl known) � � <br /> Attech fou�(4)coF�ea of plans lor proposed work• Drew to scate and note the lollowing as applicable: � <br /> • Properry Linea � Centerline ol Etreet � <br /> • Outline and dimensions ol ell ezisiing and • Indicate Nohh <br /> proposed structures on the lot • Show any proposed grading chenges <br /> • Ezisting and proposed utilities • Show measuremnnts � <br /> -- DO NOT WRITE BELOW TMIS LINE <br /> PERMIT CON�ITIONS O <br /> 1.A�I calle for Inspertion ahail be mede 24 hra.in advance•phone 259•8810. � <br /> 2.Ail work ahall be peAortned in accordance with this permil and wnent City of Everett Design and Constructlon <br /> StanOarde end Speciflc:etfone. <br /> 3.Call Lxation l��nderground Service 48 hrs.before you dlg.TOLL FREE NUMBER 1-800-424•5555. � <br /> � <br />' FUBLIC WfJqKS PERMIT � <br /> BY N���HEqUIRED � <br /> � <br />� DATE�l' �I � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ow�ner/applicant hereby�prees to hold and save harm- <br /> � less the Cily of Everett Irom any and all claims lor damepes, cos;s. <br /> expenses, or causes ol action Ihat may arise because ol installation <br /> and maintenance ot tne improvement or other nght-of�way use hereto <br /> applied lor and lurthe� agrees to remove same upon notice irom the <br /> Approved for Construclion Date City and to replace public properly damag>d Ihereby. <br /> FINAL INSPEC710N Date <br /> Approved as Conctructed Signature of Ap0licant Daie <br /> - � PUBLIC WORKS DEPARTMENT WOFK AUTHOHI2ED BY TH�S PERMIi MUST BE STAFTED WITHIN <br /> 3200CedarSireet 180 DAYS OF DATE PEFiMiT IS ISSUED ANO TH aEAFTER IS TO <br /> Everett,WA yB201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-8070 GANCELLED BY THE CITV UPON�4NY STOFPAGE OF WORK ON TH�S <br /> — i <br /> PROJECT OVER 90 DAYS DURATION. <br />