Laserfiche WebLink
, <br /> �plicetion 'or De(b � <br /> � PUBLIC 1r�ORKS PERMIT <br /> PUBLIC WOFlKS DEPAR'Rv1ENT Public Works Pertnit N _ <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 6uilding Pertnit q <br /> IYPE OR PRINT ONLY Plan Check No: B 53859 SEPA :s Fee$ <br /> Applicat.Date: 12[31/96 <br /> Job Addre: 1920 MERRILL CREEK PKWY /A <br /> Owner: INTRACORP <br /> Tenant: LfiE GROCERY <br /> Owner Propoeed Use: OFFICS/WAREHOUSE Phone <br /> Desc. of work: <br /> TENANT IMPROVEMENT <br /> App�icant Phone <br /> OFFICE SET JOB SET <br /> Describe Proposed Wo�k _ APPAVD FOR PERMIT: DATE_/_/_ BY ■ ■ ■ <br /> W <br /> � <br /> � <br /> . � <br /> PROJECT ADDRERS (if known) M <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note ihe following if applicable: O <br /> •PropeAy Unes 'Outline and dimensions of all ezisting and proposed structures on the Iot •Eristing and proposed utilities <br /> •Centerline o1 street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE 3ELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shail be mada 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service�8 hrs. before you dig. TOLL FREE NUMBER 1-500-424-5555. H <br /> �// <br /> O <br /> �;iRUG �vpRKS PF4 6�r � <br /> ��pr RFUUIPE <br /> I,;Q _ r. <br /> '�ATc _ J�Z.-9.� •- - .�. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save haimless <br /> the City of Everett from any and all claims tor damages,costs,expenses,or <br /> Approved for ConsWction Date causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of•way use hereto applied for and further:igrees <br /> to remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date � <br /> Approved as Constructed <br /> Signaturo ot Applicant Dete <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180�AYS OF DATE PERMIT IS ISSUED AND THEP,EAFfEfl IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WOFlK ON THIS PROJECT OVER 90 DAYS DURATION. <br />