Laserfiche WebLink
� <br />TYPE OR PRINT ONLY <br />UNrer <br />Appllcant <br />Apphcabon Fw <br />PUBLIC `, ORKS PERWIIT <br />Describe Proposed Work _ <br />PROJECT ADDRESS (i( known) <br />PUtlLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />�verett, WA 98201 259-8810 <br />Da' <br />Pvblic Works Permit M <br />Buildin{7 Perrtiit N <br />Public 1Vorks Fee S _ _ <br />Plan Check No: B 51222 SEPA <br />App11cat.Date: 03/27/96 phone <br />Job Addreee: i320 75TI1 ST Sw <br />Owner: LUECHEN MIKE <br />Tenant: MILLSTONE COFFEE <br />Propoeed Uee: OFFICE/WAAENOUSE Phono � <br />Deec. of Work: <br />OFFICE & WAREHOUSE TI <br />OFFICE SET_ JOB SET <br />APPROVED FOA PERMIT: DATE_/_�_ gy <br />Attech lour (4) copies of plans lor proposed work - Drew to scale nn0 no�e tha Iollowing If eppliceble: <br />•Property Llnes 'Outline and dlmensions ol ell exlsting end poposed structures on the lat •Existing and proposed utilitles <br />•Cenlerline ol street •Indicate North •Show any pro{»sed grading changes •Show measurements <br />PERMIT CONDITIONS; <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shail be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underc,�round Service 48 hrs. Gefore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�,if��.IG '.:r�i3KS PE�>h+i' <br />�.Oi ^F.GUIPEh <br />'.. y ___"��J — <br />��11`. �/� �C <br />f�– -'---.�.. <br />Approved lor i,onstrucllon Date <br />FINAL INSPECTION Date <br />Appmved as Constmcted <br />W <br />� <br />� <br />� <br />♦r� <br />V♦ <br />O <br />� <br />ACKNOWLEDGEMFNT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and sare hartnless <br />the City of Everett Irom any and ell claims lor damapes, costs, expenses, or <br />cnuses ol actlon ihat mey arise because of Installntlon nnd malntenance ol <br />the Impmvemenl or other right-ol-way use hereto epplied for and lurther egrees <br />to �emove same �pc n notice fmm ihe Gty and to replace public preperty <br />damnged thereby. <br />SignaWre of Applicanl <br />WORK AUTHORIZ[0 BY THIS PERMIT MUST BE STAqTED WITHIN iB0 DAYS OF DATE PEF611T IS ISSUED AND TH[R[ \FfER IS TO BE DILIGENTLV PURSU[D TO <br />COMPLETION. THIS PERMIT IdA1' �E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURA710N. <br />