Laserfiche WebLink
Date/a �✓/r � <br />Ap0litalion For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />APV��cant <br />DascrlEe PropaseJ Work _ <br />Prolect AtlEruss (il Mnown) <br />Plan Cheek Nos B 27958 SEPA <br />Appllcat.Date: 10/14/91 <br />dob Addra: 680Y BkVERLY HLVD <br />Own�r: CZTY OF EVERET2' <br />Tenant: FIRE STATION <br />Propoeed Uee: FIRE STATION '+� f <br />Deec. of Works <br />ADD BaSEHENT STAIRWAY <br />OFFICE SET JOB SET_ <br />APPAVD FOR PERMIT: DATE_/_/ <br />BY <br />v�eic wo��a aa�mn e <br />�. eiao o�o� • 9/�77 S f'd' , <br />P�m�c wo,e� r.. <br />,e�.� F s <br />�....00� �.. P.a s — <br />en,�c.o�. s <br />Altac� low (4) cupies ol plans for propasetl wark • Draw to scale antl nole tha lollowing as apPlicable' <br />• Proparty Lines i Centerline ol atreet <br />• Outline anE dimensians ol all existing antl • InCicate Ncrth <br />O�oposed structures on �he lot • Show any proposed gradinB c�angea <br />• EzlstinB anA proposeE utlli!les • Show measuremenis <br />P�one <br />PERMIT CONDITIONS <br />1.All calls lor Inspeclion shall be made 24 �rs. in aEvance • p�one 259•8�10. <br />2. All work shell be parlormetl in accordanca with this permit an7 curtenl City of Everutt DeslBn and Construction <br />SlnnCerds antl Specllica�lons. <br />�. Call Locallon UnCergrountl Service 48 hrs. balore you diy. TOLL FflEE NUMB!'H 1•800-424•5555. <br />� / �U.�:�ftl CL�L�i'. <br />�,� �r, �%,/p`^� <br />�C�«. ��'� � <br />� <br />/� � - /� " °� <br />APp:�vetl lor Constructlon Date <br />FINAL INSPECTION Date <br />Appmved as Consimcled <br />���PUBLILWORKSDEPARTMENT <br />3200 Cvdar Slreel <br />EveretL WA 9B201 <br />P�ona:259�E010 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />O <br />� <br />� <br />a, <br />The untlersigneE owner/applicant hureby agrecs to hold and save �arm� <br />less the Cily ol Eve�ett Imm any and all claims lor damages, cosls. <br />eKOenseS, ur causes of action t�at may arise because of Installahon <br />and maintena�ce ol the improvement or ot�er righ4ol�way use hureto <br />ap0lied IOr and lurihet agr¢es 10 rCmove Same upon nOlic¢ Irom Ihe <br />Cily and :o replace public pmperty domaged I�ereby. <br />Signa'ure ol Ap011cant Date <br />WOFK AUTHORIZED BV THIS PERMIT MUST BE STARTED Y�ITHiN <br />180 DAYS OF OATE PEPIAIT IS ISSUE� AND THEFEAFTER IS TO <br />BE DILIGEHTLY PURSUE� TO COMPI E!!nN. THIS PERMIT MAY BE <br />CANCELLED BV THE CITY UPON ANY S:OPPAGE OF WORK ON THIS <br />PflOJECT OVER 90 DAYS �URATION. <br />