Laserfiche WebLink
wy � H <br />�y <br />� y H <br />� <br />y � H <br />K y � <br />O RI O <br />� N H�+ <br />� H G <br />� � � <br />� y �M <br />:o <br />M <br />O (n <br />��y [r9 <br />W O N <br />Date <br />/'� <br />Applicalion Far <br />PUBLIC WORKS PERMIT <br />Print ur Type Only <br />Owner <br />Applicant <br />Plan Check No: B 37733 SEPA <br />Applicat.Date: 08/18/92 <br />Job Address: 1402 SE EV MP.I.L WAY �7A <br />Owner: TITANIC ASSOC <br />Tenant: VISTA OPTICAL <br />Proposed Use: RETAIL <br />Desc. of Work: <br />TENANT IMPROVEMENT <br />OFFICE SET J!�B SET <br />Describe Proposed Work ApPROVED FOR PERMIT: DATE__/_/_ BY <br />ProleGt Addre55 (i� known) <br />' Puo�m Works Pormlt R �_ <br />ama. oeo�- • -- <br />PuOim Waks Fna <br />TolalFoe �� - <br />Lo55 ADO� Fee Pe�d 5�- <br />Baianca �ue S � <br />f Zip . . � . , Phone . <br />Zjp Phone <br />Attach lour (4) copies of Plans lor proposed work - Draw to scale and note � Ceniterline of s p� I'`cable: <br />• Property Lines • Indicate Nortl-� <br />• Outline and dimen�ion5 e f all existing ane� � Show any proG���'�<I 9ra��ing chac..r s <br />proposed slructurr:s on tl e lot • Show measw�� :���� �!� <br />• Existing and proposed uti�ities <br />�i����� <br />PERMIT CONDITIONS <br />1. All calls for ins{�eclion shall be made 24 hrs. in advance - phonA 259•8810. <br />2. All work shall be pedormed In accordance with ihis permil and current City ol Everelt Design antl fonstmclion <br />Standards and Specifications. <br />3. Ca�l Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-90C�-•�24•5�55. <br />,, . ,- <br />�uiti�. ee�r�..'��z�.�,.��f-��::r ,�<<,��.-�� <br />, .� ;.,:. <br />� <br />Appmved lor Construction Date <br />FINAL INSPECTION Date <br />Approved as Construcled <br />����PUBLIC WORNS DEPARTMENT <br />3200 Cedar Sireet <br />Evere�t WA 98201 <br />Phone:259•8010 <br />W <br />H <br />�1 <br />�� <br />Z <br />O <br />��/� <br />V� <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City ol Everett Irom any and all claims lor damages, costs, <br />ezpenses, or causes ot action Ih31 may arise because of installation <br />and maintenance of Ihe improvement or other right•ol-way use hereto <br />applied lor and lurther agrees �o remove same upon nolice Irom ihe <br />Cily and lo replace Public proper;y damaged ihereby. <br />Signature of Applicanl Date <br />80RD YSTOF DATE PERMIT ISEISSUED �ND HEREAF ERJISHTO <br />BE DILIGENTLY PURSUED �O COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAG[ OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />