Laserfiche WebLink
� <br /> 1 <br /> , <br /> - � <br /> _ ' <br /> �"� - ' <br /> Date f <br /> O � °ueFc wonu rermn. I <br /> C N APD�����on For e�ap Dept• � <br /> ��`� PUBLIC WORKS PERMIT <br /> y � weim,i'anu Fe. E I <br /> K f] �ee��oo«eeo••a S <br /> �M� Print or Type Only Be�enc�Due s I <br /> GD H <br /> �Z <br /> � � Plan Check No: B 36796 � <br /> O F+ Owner Applicat.Date: OS/20J92 SEPA <br /> HO 1ob 7�ddreee: 4730 COLBY Z'P Phone <br /> [4 O Owner: EVERETT SCHOOL DISTAICT � <br /> �• n Tenant: ADMIN BUIL�ING I <br /> �y� Propoeed Uee: OFFICE <br /> Applicant Deec. of Works Zip Phone <br /> PORTABLE OFFICE BUILDINC <br /> h+ H <br /> Q� �„� Describe ProposeO Work OFFIC6 SET J08 SET <br /> t� H <br /> ����+++ APPROVED FOR PERNIT; DATE_/_�_ gy <br /> �H � <br /> O � <br /> , Project Address(if known) � <br /> E . Attach lour(4)copies of plans lo�proposed work• Draw to scale and note Ihe lollowing as applicable: � <br /> � • Property Lines • Centerline of streel � <br /> • Outline and dimensiune of a�l existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Exisling and propos�d utilities • Show measurements � <br /> � <br /> DO NOT WRITE BELOW THIS LINE <br /> ' ' PERMIT CONDITIONS O <br /> 1.RII calls for inspection ihall ba made 24 hrs.in advance-phone 259�8810. � <br /> 1�I 2.hll work shell be peAc med In accordance wlth this permit and curtent City of Everett�esign and Construction <br /> Standarde end SDeci'�catione. <br /> '�' 3.Call Locailon Unden�round Service 48 hrs.before you dig.TOLL FREE NUMBER 7-80P424•5555. � <br /> 1�1 <br /> / �J �i� �' /W� � / / � / O <br /> ; � � V l Pn'MI f/'iNl� �q,✓./tG+ <br /> l��. � <br /> 1_� ��"'Q �l�'e°e � <br /> I S-a/- 9Z � <br /> �_I a <br /> .:, <br /> ' ACKNOWLEDGEMENT Of CONDIT�ONS <br /> � The undarsigned owner/applicant hereby egrees to hold and save harm- <br /> �' less �he City ol Everet� Irom any anC all claima lor tlamages, cosls, <br /> . expenses, or cauaes of oction ihat rt�ay arise because ol insfallation <br /> and ma�ntenance ol Ihe improvement or ofher righ4ohway use hereto <br /> ADProveE lor Conatruction applied lor and furiher agrees to remove same upon notice from the <br /> Date City and to replace public property damaged Ihe�eby. <br /> FINAL INSPECTION Date <br /> Approved as Construcied Slanature ol ApPlicant Date <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHOFI2ED BY THIS PERMIT MUST 8E START[D WITHIN <br /> 3200CedarStreet 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> Everett,wA98201 BE DILIGENiLY PURSUED TO COMPLETION. THIS PERMI7 MAY 8[ <br /> Phone:259�8810 GANCEILED EY THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS OURATION. <br />