Laserfiche WebLink
�R�7� <br />i0 7J R1 <br />C N <br />� Hp7 U� <br />H z Mn <br />� H X1 <br />� N hJ <br />N N <br />� H � <br />°zno <br />c� :" n <br />t� y � <br />C f�i� y <br />Rdy <br />��� <br />S H fn <br />H O N <br />�� _ <br />� �_ _' <br />e� <br />Date /6/ <br />Application For <br />PUBLIG WORKS PERIIAIT <br />Print or Type Only <br />Bert Cronin <br />713 SE Et�erett 61a11 <br />#2 <br />rub�IcwmxsPormii� . <br />eiao� oeo�� • 36632 <br />Puolicwo�MSFeo g <br />Total Poe <br />�ess aoo�. Fea Paid 5 <br />Balancc Oua S <br />Everett 98204 353-6500 <br />Ciry Zip Phone <br />EYnie Mosher (tenant) #6 - 711 SE Everett Mall Way <br />Mailing <br />Describe Proposed Work Install paint booth <br />Prolect Address (if known) <br />Ciry <br />ZiP Phone <br />Attach four (4) ��p�es of plans fot Proposed work - Draw to scale and note � Ce�l�e�line of stpeet able: <br />• Property Lines • Indicate North <br />• Outline and dimensions of all ezisting and o Show any proposed grading changes <br />proposed structures on the lot � Show measurements <br />• Exislino and proposed utilities <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be pedormed in accordance with this permit and current City ol Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424-555 . <br />�U�ci �cJ�z/� �^�,���.f ��''7'4��c�-L"<�� <br />�B J <br />s- z� i z <br />Approved for Construction <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigncd owner/applicant hereby agrees to hold and save c�Qsm� <br />less ihe City ol Everetl trom any and all claims for damages, <br />expenses, or causes of action that may arise 6ecause ot installation <br />and maintenanc • of ihe improvement or other righl�ol•way use hereto <br />applied br and f�rther agrees lo remove same upon notice irom Ihc <br />Ciry and to replace Public property damaged thereby. <br />Date Date <br />FINAL INSPECTION Sic�nature of Applicant <br />'� Approved as Constructed WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN <br />PUBLICWORKSDEPARTMENT 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />Everett, WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />Phone: 259�8810 PROJECT OVER 90 DAYS DURATION. <br />.�„ <br />