Laserfiche WebLink
S-/0- ZCj- 5- <br />Date 8-29-95 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />McDonald Corp <br />Owner <br />POSTING JUL 15 1996 <br />C� `/ <br />Bldg Works Permit <br />Bldg • �r y'_�,� <br />Dept • 49339 J <br />Public Works Fee <br />Total Fee $ <br />Less Aool Fee Paid $ <br />Balance hue $ <br />10220 NE Points Dr Ste 300 Kirkland 98033 827-9700 <br />Mailing Address Oil; Z11 <br />Betsy Dyer 251-6222 Barghausen Engr <br />Applicant Mr,ihn,;; Address City in Phone <br />Describe Proposed Work new restaurant. <br />LU <br />Project Address (it known) 9606 19th Ave SE <br />pin, ;tq <br />Attach four (4) copies of plans for proposed work -Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading rhanges <br />• Existing and proposed utilities • Show measurements - 50'Qc, <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS O <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259.8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. - <br />'3+. CallLocationUnderground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555._ <br />7 lrGr �rZ/° _Z 51.11 <br />Cl) <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />_ The undersigned owner/applicant hereby agrees to hold and save harm. <br />less the City of Everett from any and all claims for damages. costs. <br />expenses. or causes of action that may arise because of installation <br />Jand maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />Appro ed f t coon Dale City and to replace public property damaged thereby. <br />6 <br />FI AL SPECTION - Date Q ZS q{2 <br />Approved as Constructed SI na ure of Applic nt Date <br />PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />Everett, WA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />i8. Phone: 259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />