9424 EVERGREEN WAY 2018-01-02 MF Import

Date 1 /29 /92 Q _ 7 —ZU Public Wo ke Permit 35500 Application For Bldg. Dept a 1 PUBLIC. WORKS PERMIT Pub FeeFee $ Less APPt Fee Feld S .J Print or Type Only: co Cl Ul C 61 O q O 01- `Il rn * �l r- o 7 0 ., «, -: Balance Due S _ 40 r� .t• ,e rt ti o •a In u] ra r� PI •: G A Building Co 2506 Colby:"Everettr?, WA? 98201 ^' 259-6043 Owner - c •` "1' Maltirq Address 't a, m rnCity; ',1 , , Zip r+ 1 1.i ._, ui u tr. cl r . i Phone ,,,(JefV.,Noore);_ Botesch Nash & Hall Arch 259-0868 , : Applicant Mailing Address City Zip Phone new 8000sf shelled-i�t buil4- 9 -- o face �linic space Describe Proposed WorK r ` , , Project Address (if known) -Attach four(4) copies of plans for proposed work- Draw to scale and note ih ollowing as applicable • Property Lines Centerline of street • Outline and dimensions of all existing and •Indicate Nort ing changes h proposed structures on the lot • Show any proposed grad • Existing and proposed utilities •Snow measurements PERMIT CC NDITIONS 1. All calls for inspection shall be made 24 hrs. i dvance - phone 259.8810. 2. All work shall be performed in accordance ' h this permit and current City of Everett Design and Construction Standards and Specifications. 3, Call Location Underground Service 48 . before you dig. TOLL FREE NUMBER 1.800-424-5555. I r 04s r;M for Construction ca 2 `9G Date FINAL INSPECTION Date Approved as Constructed GLPUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8810 �' I _I im O n z O O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the 4Fh ace public property damaged thntRIZED BY THIS PERMIT MUST BE STARTED WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS L JRATION. h proposed structures on the lot • Show any proposed grad • Existing and proposed utilities •Snow measurements PERMIT CC NDITIONS 1. All calls for inspection shall be made 24 hrs. i dvance - phone 259.8810. 2. All work shall be performed in accordance ' h this permit and current City of Everett Design and Construction Standards and Specifications. 3, Call Location Underground Service 48 . before you dig. TOLL FREE NUMBER 1.800-424-5555. I r 04s r;M for Construction ca 2 `9G Date FINAL INSPECTION Date Approved as Constructed GLPUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8810 �' I _I im O n z O O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the 4Fh ace public property damaged thntRIZED BY THIS PERMIT MUST BE STARTED WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS L JRATION.