Laserfiche WebLink
, <br /> Date P�OIm Workf Pe�mit• <br /> Application For eiav�oeo�.• <br /> PUBLIC WORKS PERMIT PublicWorksFee <br /> Total Fee S <br /> Leaa ApPI Fe!VniE s <br /> eaiance D�e S <br /> Print or Type Only <br /> Plan Check No: B 37941 SEPA <br /> Applicat.Date: 09/04/92 <br /> ,Tob Addreee: 2221 EVERETT AVE <br /> Owner Owner: LAWSON MFG Zip 1'hone <br /> Tenant: • <br /> Piopoeed Uee: STUDIO <br /> Deec. of Work: <br /> Applicant TENANT IMPRO✓EMENT Zip Phone <br /> OFFICE SET J08 S€T <br /> Describe Proposed Work <br /> APPROVED FOR PERMIT: DATE_/_/_ BY <br /> W <br /> Project Address(if k�own) � <br /> Attach lour(4)copies ol plans for proposed work• Draw to scale end note the'lollowing as applicable: � <br /> • Praperty Lines � • Center�ine of street � <br /> • Outline and dimensions ol all existing and - • Indicate North <br /> proposed slructures on Ihe lot • Show any proposed grading changes <br /> • Ezisting and proposad utilities • Show measuraments � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t.All calls tor Inspection shell be mede 24 hra in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and current City of Everett Design and Gonstructlon <br /> Standards and Specificationa <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBEH 1•800-424•5555. � <br /> �vl�' " l-- �«>,2�f ti�`,��<:.��(' � 0 <br /> �G� L!�'•^Z <br /> , <br /> i <br /> �c�—9? . � <br /> � <br /> O <br /> a <br /> ,1CKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned o�.vner/2pplicant hereby agrees to hoid and save harm- <br /> less the City of Everet� from any and all claims for damages, costs, <br /> expenses, or causes of action that may arise because of installation <br /> and maintenance of the improvement or other right•of-way use hereto <br /> apptied lor and further agrees to remove same upon notice irom the <br /> Approved lor Construction Date City and to replace public property damaged ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature ot Applicant �ale <br /> �`�' PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> i� 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> Everett,WA9820t BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 3E <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />