Laserfiche WebLink
Date <br />., <br />Appllcatlon For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />APPBCant <br />Deecribe Proposed Wo�k <br />Pro�ect AAdreaa (II known) <br />Plan Check Not H 36741 <br />Applicat.�atet Oq/0%/92 S�4 <br />Job Addret 2225 3i6TH SE <br />Owner: LUX THONA� <br />Tenanti <br />Propoeed Ueet GAAAGE <br />Deec. of Work: <br />CONSTRUCT NEW GAFAGE — 700SF <br />OFFICE SET JOB SET <br />iuElrc Werh� Pe�mit • <br />Bi00.Ow1• -�IP%.�l '_— <br />Peelk wo.b Fa� <br />TOW Fu s <br />11u �Do� Fo P�W Q <br />B�I��n Du� f <br />SEPA Phone <br />APPRVD FOR PERMIT: DATE_/_/_ gy <br />Attach lour (4) copiee of plans lor propoaed work - D�aw to ecale end nota Ihe tollowinp es eOP�lcahle: <br />• Property Llnee <br />• Outllne end dlmanelons of all exlating enC <br />pro0oaed etructurea on Ihe lot <br />• Exlstin0 end propaead utllillea <br />� QBOSBIIIOB O� B�fNBI <br />• Inditate North <br />• Show any propoeed gre�ina thanges <br />• Show nieasurementa <br />Phona <br />PERMIT CONDITION8 <br />1. All calle lo� inepectlon ehell be made 24 hrn. In advance - phone 259-8810. <br />2. All work ehall be perlormed In accoMence wlth thle permlt and curtenl City of Everetl Deeiqn end Conetrudlon <br />Star.darde and Specllicatlons. .. <br />3. Call Locatlon Underpround 9ervlce 4B hra belore you dip. TOLL FREE NUMBER 1•800�424655b. � <br />, "� F�LZ L(1OZ�y �� � )••� � /�O! .�v I <br />�7.CLCA..��� <br />(�i <br />�iL. <br />'i-y-1Z <br />Approved for Constructlon Dete <br />FINA� INSPECTION 0819 <br />Approved es Constructed <br />/g� PUBUC WORK9 DEPARTMENT <br />/�� 3200 Cetlar 9t�ee1 <br />�` Everalt, WA BB201 <br />Phona� 259�8810 <br />ACHNOWLED3EMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />O <br />The underalpned owner/eppticant hereby apreee lo hold end eava harm- <br />leea Ihe Ciry ol Everetl Irom any end all cleime lor damagea, r.oeta <br />expeneea, or causaa of ection that mey arlae becauee ol Instellatlon <br />and malnlenance of the Improvement or other righl•ol•wey uee harafo <br />eppliad far end lurther agreea to remove eame upon nolice Irom the <br />City and to raplace pu6lic propa�ty damapetl Iheraby. <br />Slpnalure ol Applicant Date <br />WORK AUTHORIZEO BV THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS Of DA1E PERMIT IS ISSUEO AND THEREAFTEF IS TO <br />BE OIUGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANV STOPPA(iE OF WORK O�I THIS <br />PA(11Gf � (1��F0 M I�GVS �11)R?TI(1N <br />