Laserfiche WebLink
� (] M <br />� rry w <br />i07� C <br />Cy y <br />H �i <br />N <br />n <br />H A <br />b M b <br />N I-1 <br />� H � <br />O H <br />a n o <br />N :° R <br />� N � <br />f+ y <br />N <br />M <br />O N <br />��y '•rd <br />O VN1 <br />� �. ��';, <br />� <br />Date 8/'-&/91 <br />qpplication Por <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />GTE Northwest, Inc. PO Box 1003 3LB Everett, WA 98206 <br />Owner <br />Mailing Address Ci1y Z�p <br />Gary Parkinson, Arch <br />2812 Colby Ave <br />Everett 98201 <br />DescribeProposedWork �"roof (33,220sf bld .) <br />Proicct Address lif knownl <br />��v <br />i�,,;�� �: r:�..... r,.,,��.; . _. _ _—_ . . . .. <br />n���t o„o� • 91 2 i912 __._ . <br />Pu�hcWo�ksFco 5 <br />Tolal Poa <br />LessnPn� Foo raia 5 <br />paiencn Due 5 <br />Attach four (4) copies ol plans lor proposed work � Draw to scale and note � Ceo�'°�w'ne of stpee� a61e�. <br />• Property Lines • Intlicale North <br />• Outline and dimensions of all eaistin9 and �,���oyy any pwposed ��oAin9 changes <br />proposed structures nn the lot • Show measuremenls <br />• Eaisling and p�oPosed ulitities <br />DO NOT W171TE BELOW THIS LINE <br />261-6323 <br />252-2153 <br />PERMIT CONDITIONS <br />7. A�I calls lor inspection shall be made 24 hrs. in advance - phone 2S9•8810. <br />2. All work shall he pedormed in accordance with Ihis permit and cunent City of Everelt Design and Construction <br />Standards and Specilications. <br />3. Cell Location Underyround Service 48 hrs. belo�e you dig. TOLL FREE NUMBER 1-800•424-555 . <br />��� �t� `�"`"'� ��2�.w� ���P�cc<«�/ <br />Conslruction <br />�� <br />8 �9-Y/ <br />Dale <br />FINAL INSPECTION Daie <br />Approved as Construded <br />PUBLIC WORKS DEFARTMENT <br />�rr�3200 Ceder S1reet <br />��l Everetl,WAPP201 <br />Phane.^5n.B610 <br />�� <br />• <br />� <br />Y ! <br />�� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigncd owner/applicant hcreby agrees �o hold and cave harm- <br />Iess the Gty ol Everett from any and all claims for Aama9es, costs. <br />expenses. or causes ol aclion thal may arise hecause of installalion <br />and maintenance of Ihe improvement or other ric�hPof-way u,e herelo <br />applied ior and lurlher ag�ees lo rmnove same upon noticc Iwm the <br />City and b rePlace pub�ic property damaged Iherehy. <br />Datc <br />Si9na�urc ot ApplicaN <br />BORDAVSTOF DATOE PERMIT ISEISMUED ANDBTHEREA TER ISHTO <br />BE DILIGENTLY PURSU[D TO CO� PL[TION. THIS PERMIT MAY 8[ <br />C�NCEl1GD �Y TIIE CITY UPON AIvY STOPPAGE OF WORK ON THIS <br />PROJfiCT ��VL-R'-�0 R:�'S DURATION <br />