Laserfiche WebLink
Date— 9-19-94 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or *1 ype Only <br />Pains WOr.. Prlmil45612 -- <br />e100 Deill . — <br />PoINC W001 Fee $ <br />rOlal ire <br />Less Apal Fee Pa,A S <br />e.l.ece Duo a <br />Jim Wagle 2106 63rd St SI-. Everette 3 353-3093 zip <br />Phone <br />Owner <br />mess <br />Pacific Garages 616 Laurel Dr Everett 98201 259-1311 a zl- phony <br />Applicant <br />Mailma Address"' <br />new age8e—___—_---- ---- ---- <br />Describe Proposed Work --�--- <br />Project Address (It known) <br />2111 63rd St SE --•-- ----- - -- <br />Attach tour 141 copies of plans for proposed work . Draw to sc.+ln and Mole the following as applicable: <br />• Property Lines <br />• Outline and dimensions of all ealsting and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Cuntmline ct street <br />• Indicate North <br />• Snow any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS hone 259.8810. <br />1. All calls for Inspection shall be made 24 hrs. in advance - p <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. Cell Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1 •Bf>D•424.555 . <br />PUBLIC WORKS PERMIT <br />NOT REQUIRED <br />2Y <br />,ATE ? 7 9 <br />W <br />ima <br />1� <br />�rr�rl� <br />0 <br />n <br />z <br />0 <br />N <br />0 <br />^ <br />ii <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm <br />less the Coy of Everett from any and all claims lot damages. costs, <br />i e.penses or causes of action that may arise because of installation <br />I and maintenance OI the Improvement or other right -et -Way use hereto <br />apphnd for and further agrees to remove same upon notice from the <br />Date Gty and to replace public property damaged thereby. <br />Approved I for Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />PUBLICWORKS DEPARTMENT <br />3200 Cedar Street <br />Ever att. WA 98201 <br />Phone:259.8810 <br />Date Data <br />Signature A of Applicant <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />18o DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE <br />CANCELLED <br />UPON <br />ANY <br />STOPPAGE OF WORK ON THIS <br />PROJECTOVER 90 DAYS DURATION. <br />