Laserfiche WebLink
(/ <br /> 4/2/92 Tp POSTINf _3_=��- Pu011cWorkaPsr362 2 �ZZ <br /> Date eiac o�o�.• <br /> qpplication For <br /> PUBLIC WORKS PERMIT pueToteFeeFee , <br /> Lesf Appl Fee PaiO s / <br /> B�i�nce Due f `�'�� <br /> Print or Type Only <br /> Colby Square Partners 2731 Wetmore Everett 98201 388-8400 <br /> Owner <br /> Meiling Address City Zip Phone <br /> Applicant <br /> Mailing Address City Zip Phone <br /> Theatre <br /> Describe Proposed Work <br /> � <br /> Prolecl Address(if known) 27�� -��c'�"'�'"e A✓2. � <br /> Atlach lour(4)copies of plens for proposed work- Draw to scale ond note the tollowing as applicable: ��;.�`��� o;��v _��.��:;.-1N'F': �t� <br /> • Property Lines • Centedine of sireel ; <br /> • Indicate North <br /> • OuUine and dimensions ol all existing and � Show any Proposed gradin�'�Itgn��s�4 <br /> proposed sirutlures on ihe lot )��T.����._ i i,�_'.�:� � <br /> • Existing and proposed utilities • Show measurements <br /> � , <br /> DO NOT WRITE BELOW THIS LINE '��:I:`�`�� - �- -� <br /> .-_� , . _ _- � � <br /> PERMIT CONDITIONS � <br /> 1.All calls for Inepectlon shall be made 24 hra.In�dvance•phone 259�8810. <br /> 2.All work ehall be peAormed in eccordance with tr�is permit and curtent Ciry ot Everett Design end t:onstructfon <br /> Standarda and Specificallona. � <br /> 3.Celi Location Underground Service 4B hrs.belore you dlg.TOLL FREE NUMBER 1•800-4245:i55. <br /> y �� s,� �� ,� � d� ,� ��►�- Q�� � <br /> ��`6�'`� w�.F�- o� �-i�9a _ , � <br /> s, �a.,��� �. N <br /> �, � � ���� ' <br /> �i° ����� �. <br /> �. .� �� -�.�' .�"'` ,e°w' `�`� <br /> �� a <br /> s,�.a' � 8���w� �� �°-o�l �", s�a.eQ,u�t � .�d�p�' , <br /> 7. ,S���,�t������ "�.c�}" w,,� ��' .2°,�`�`- a,,.a0�-f �� � <br /> LEOECr/u�"" / � ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/eppliCant hereby agrees to hold and save harm- <br /> less the City of Everett irom any and ell claims for demeges, costs, <br /> ezpenses, or causes of action that may arise beceuse of instellalion <br /> / / Z and maintenance of the imp vement or olher right•ol•way use hereto <br /> � � Y' a lied tor and further agr s to remove same upon notice irom the <br /> Approved for structio ate Ci and to replace Public p Perty dameged thereby. <br /> —� Z � 2 2 <br /> FINAL INSPECTION Date Date <br /> Sig ature of App icant <br /> Approved as Constructed y�ORK AUTHORIZED BY THIS P R T MUST BE S7ARTFD WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS S ED AND TNEREAFTER IS TO <br /> 3200 Ceder Slreel BE DILIGENTLY PURSUED TO CO LETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8870 PROJECT OVER 90 DAVS DURATION. <br />