Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
Date 3/'L9/94 ; � 3p --; <br /> P�.plie Works Permi� , <br /> ApplicationFor `+ Biap.oeo�.• <br /> PUBLIC WORKS PERI�IT PUbToteFeaFee s <br /> Q <br /> � Le:s pp0�Fee PaIA $ <br /> Print or Type Only TO POSTING ��Z-q"� —s g � g „o, BalanceDue S 35 °O <br /> � <br /> � � „ Ma Do2-32Z�0//B3/ <br /> � �. � <br /> Clyde LeMaster 2721 Wetmore Ave Everett 9�01�388-8216 <br /> Owner Mai4ing Atldress M � � � $3 U Lp Phone � <br /> Christian Karr (Espresso Connection) 252-01� � � �' � �' <br /> mmoc� <br /> qpplicant Mailiny Address City Zip Phone � <br /> Describe Proposed Work Place espresso stand (drive-through) <br /> ����- W <br /> Project Address(i(known) 2 Ever reen W�_ _ � <br /> Attach four(4)copies of n!�;; fur�proposed work- Draw�o scale and note Ihe tollowing as applicable: ii <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicale North <br /> proposed structures on the lot • Show any proposed grading changes <br /> � Existing and proposed utilitir,s • Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMITCONDITIONS � <br /> 1.All calls tor inspaction shall be made 24 hrs.in advence-phone 259•8810. � <br /> 2.AI�work shall be performed in accordance with ihis permN and current City of Everett Design and Consiructlon <br /> Standards and Specificatlons. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> `l, ���' �tc:�C�- �"m. 't.�c' `�n�`.t� �c,� �S'�a,�a�c�s O <br /> ���CLc�x B �ls��aC7`� <br /> 5" PQ.c�•.� on s�-� �� � << 1�,r h,:-.,�� �'�' Z " � <br /> C'LasS � � c�S�/,alf a,.�.,r 'f-y o�' cr�sSe o� Na�lf. � <br /> � IHITUL INSPECTION O <br /> KIRK BH60KS � <br /> DATE _ 3�24 -9 `� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages, costs, <br /> � /� expenses, or causes of action that may arise because of installation � <br /> �'� N/'� K� ./�z� � and maintenance of the improvement or other right-ot-way use hereto � <br /> �L Y appiied for and further agrees to remove same upon notice trcm ihe . <br /> Approved fo�ction Date City_az o replace publi operty damaged thereby. � ; <br /> /� �` s>' � <br /> FINAL INSPECTION Date ��J <br /> Approved as Constructed Signatu of Appli ant D3te <br /> ���� PUBLICWORKSDEPARTMENT WORK; UTHORIZED 8 HIS PER MUST BE STARTED WITHIN <br /> 3200CedarStreet 780 DA S OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT GVER 9U DAYS DURATION. <br />