Laserfiche WebLink
_ _ .,..�__� <br /> � �, <br /> Date <br /> h01ic Worb Permit� __ <br /> AppliCation FOf Bldq.DeGI.• <br /> PUBLIC WORKS PERMIT °�°;;,,FeFee S <br /> �ev Appl Fee PeiE S <br /> Print orType Only Plan Check No: H 43332 SEPA B�I�nceDue S _ <br /> Applicat.Date: 01/21/94 <br /> Job Addreee: 2930 MAPLE ST <br /> Owner: GROUP HEALTH COOP <br /> Tenant: <br /> Propoeed Uee: MEDICAL <br /> Owner Desc. of Work: 'ip Phone <br /> TENANT IMPROVfilSENT 1ST FLOOR . <br /> Applicant OFFICE SET JOB SET r�P Phone <br /> APPROVED FOR PERMIT: DATE_�_/_ BY <br /> Describe Proposetl Work _ <br /> W <br /> Project Address(if known) _ � <br /> Attach tour(4)capies of ptans for proposed work• Draw to scale and note the lollowing as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions ol�II existing and � Indicate North <br /> proposed shuctures on the bt • Show any proposed gradinq changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inapection shell be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shell be performed in accordance with this permit and cuRent City of Everett Destgn and Construction <br /> , Stendards and Speciticetions. <br /> �. 3.Call Location Underpround Service 48 hrs.betore you dig.TOLL FREE NUMBER 1•800�424•5555. � <br /> O <br /> PUBLIC WORKS PERMIT � <br /> N T pEpU1RED � <br /> BY <br /> pATE O <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees lo hold and save harm- <br /> less the City ot Everett Irom any and all claims for demages, costs. <br /> expenses, or causes of action thal may arise because of installation <br /> and maintenance of the improvement or other righPof-way use hereto <br /> applied for and further agrees to remove same upor notice from the <br /> Approved for Construction Date City and to replace public property damaged thereby. <br /> FINAI INSPECTION Date <br /> Approved as Constructed Signature ot Applicant Date <br /> � PUBLIC WORKS DCPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CederStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUFD TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS OURATION. <br />