Laserfiche WebLink
. . ._ . . . „ . .�..�-a„ ...c .. ;� : . <br /> AppliGation For <br /> PUBLlC WORKS PERMIT Date_ 9-9-96 � <br /> PUBLIC WORKS DEPARTMENT Public Works Permit p I / "C.J� <br /> 3200 Cedar Street <br /> Evere!t,WA 98201 259-BB10 Bullding Permit# 52813 <br /> TO POSTING . ��"= �� -�3 <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> �+'�orm�n[� G,rd�w.ita=412,290- <br /> Boys 6 Girls Club of Sno Co 2722 Colby Ave 1i415 Everett 98201 258-2436 <br /> Owner Mailing Atldress City Zip Phone <br /> Dykeman Architects Garry Quinton 259-3161 il <br /> Applicant Mailing Address Ciry Zip Phone <br /> Describe Proposed Work alterations & additions � <br /> _ � <br /> � <br /> VO <br /> PROJECT AODRESS(if known) 2316 12th St � <br /> Attach four(4)copies o1 plans for proposed K�ork-Draw to scale and note the following if applicable: <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on ihe lot •Existing and proposed utilities O <br /> •Centerline of street •Indica�e North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. � <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 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> 4� tt5 �Y�Y t��Zln !��i2i�'�d.�////9� (� <br /> J � � <br /> a <br /> � � � � � � <br /> MAR 8 5 i997 <br /> .................................... <br /> CITY OF EV�RETT <br /> Building Divlclon <br /> ACKNOWLEDGEMENT OF CONOITIONS <br /> The undersigned ormer/applicant hereby agrees to hold and save harmless <br /> �� the City of Everett from any and all claims for damages,costs,expenses,or <br /> Appr ed f r Co i n Dat — ca�ses of action that may arise because of installation and maintenance of <br /> ihe improvement or other right-of-way usa hereto applied for and further agrees <br /> ro remove same upon notice trom the City and to replace p�blic property <br /> .�i� �..t/,�P o�magedthereby. <br /> FIN INS ECTION Date <br /> Appmved as Cons W cted <br /> ig ture of Appli n Date � <br /> WC:�K AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DA RMIT IS ISSUED AND THEFEAFfER TO E DILI NTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON 1NIS PflQIECT OVEF 90 UAYS ON. <br />