Laserfiche WebLink
Date--- � o„���,•,�,.,F.,..,�. --- <br /> o�nn orn • - - <br /> qpplica�ion For <br /> PUBLIC WORKS PERMIT °°°°°w°'.,`.` --- <br /> .o,r�«. � <br /> Less Om: Gee Pa��� 5 — <br /> Oa�an<r Duc S <br /> Print or Type Only plan Check No: B 49375 SEPA <br /> Applicat.Dates 09/O1/95 <br /> Job Rddre: 1804 BbILEY 11VE <br /> Owner: CREEDEN 6 KAWAB.�.TA <br /> Tennnt: <br /> �W�p� " Propoeed Uae: SFR/CARPORT -, anno„ <br /> Deee. of Woi�ks <br /> SINGLE DETACHED CAAPORT <br /> Apphcani OFFICE SET JOB SET � Phonn <br /> APPRVD FOR PERMIT: DATE_/_/, BY <br /> Describe PropasPd WorM _ --- <br /> -- .-�--- ---- -- -- W <br /> PrOleti Ad�ress 1�1 known! --� - ------ �— � <br /> A�taC��our 14) co0�e5 0� D�a�S��� P�opoied wu�• � D�a�: to �cal�a��,i �,;�e �+�e!o��uwing a5 aoWir.aOie � <br /> • Property Lmes • CeNerlme nl street �A <br /> • Outlme antl dimensions ol ali eyis'mg anA • Irtlicate Norlh V� <br /> pronosed slructures on Ihe lut • 5now any r.roposed yratl�ng cnanget <br /> • Exlsling and proposed utilities • Show mea5uremenl5 M <br /> W <br /> DO NJT WRITE BEIOW iH15 LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls tor Inspectio:�shall be ma,e 24 hrs.in advance•phone 259•881 O. � <br /> 2.All work shali be peAormed in eccordance with this permit and wrrent Cily of Everett Design and Constructlon <br /> Standa�de end Specilir,ations. <br /> 3.Call Location Unde�groiird Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> O <br /> � �.���'C ��l%�✓�t ��,9'l�� � �/�L f <br /> � � <br /> ���,�zd � <br /> r1� p�. <br /> � � � <br /> � y/��_ � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Thn imd?rciane0 ownerlapphcanl he�eby ag�ees to hold and save hann- <br /> -- '-""—� iess :he Cdy o� Eveielt Irom any �nd ali ctaims for damages. cosls <br /> ; P.�pensP.s o� causes ol aclion ihat may aris^ because ol inslalla�ior <br /> � anA maint?nance o� the imProvement or othei mahDoi�way use he�etc <br /> � a-,pi,nd lor and lu�ther agrees lo remove same +.onn nulice Irom Ihe <br /> Approved lor Construction �a�P i C�!y �inA to�eplaca pubhc pwperry Jamaged ,.isreoy. I <br /> � <br /> I <br /> FINAL INSFECTION ���e I Date <br /> Appwved as Consiructed S�gnature ot ApPlican! <br /> WJRK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITNiN <br /> PUBLIC WORKS DEPARTMENT 190 DAVS OF DATE PERMI}� IS ISSUED AND THEREAFTER IS TO <br /> �� 3200CedarSlreet BE DILIGENTIV PURSUED TO COMPLE710N. THIS PERMIT fAAV BE <br /> Everetl,WA 98201 CANCELLED BV THE CI7Y UPON ANV STOPPAGE OF WORK ON THIS <br /> Phone: 259�8810 I PRO.IECT OVER 90 DAVS DURATION. <br />