Laserfiche WebLink
�9H <br /> Q 7tl .�.i . <br /> �Hcn <br /> ��� <br /> H�J Date fi-25-92 �,..�,,, w�,,:�•.,m.�. --- — <br /> �Vl� APPlicalion For m�e� onm . _37793'_ _.__�� .. <br /> �� � PUBLIC VI/ORKS PERMIT ��"°°�w°,"�°� - --_ <br /> �o„�.as s— <br /> O M ��.•.�aw rne r��� S_._ <br /> ��-1�� Print or Type Only u•�a�«o�„ s__ __._ <br /> 'ZyM� <br /> t"y <br /> H Housir.g Hope PO Box 7823 Everett 9d201 258-2214 or 379-91P1 Steve Stroh <br /> gy OWner M�Jiny AtltlreSs Ctly Zip Phone <br /> H <br /> ��y __— —_._ <br /> � Owner <br /> y Apphcanl Mailing Address Ctly Lp Phone <br /> ON <br /> i <br /> renovation / chan � of use from SFR to transiticnal houslnk <br /> Desciihe Proposed Work _ 8=__ <br /> - - W <br /> Pro�actAddresslilknown� 2419 EveTe[t AVe � <br /> Attach lour�4�copius ot plans br proposed work� Draw tn s[ale antl note Ihe lollowing as apV��cable. � <br /> • Properry Lmes • Cenlerhne ol street /w <br /> • Outline and dimensions ol all eMishng antl • Indiwte North V, <br /> proposed StruC�wes on the lol • Show any proppsetl yratlmq thnnges <br /> • Exisling and proposed utillties • Show measurements � I <br /> '�1 DO NOT WRITE BELOW THIS LIN[ � <br /> ' ' PERMIT CONDITIONS <br /> � 1.All calls lor inspection shall be mede 24 hrs.in advance�Fhone 259•8810. � <br /> 2.All work chall 6e pedormed in accordance wdh ihis pe�mit and current City ol Evere�l Design and Cons�rdction <br /> '�' Standards•and Speci6calion5. <br /> ' 3.Call Location Underg�ound Service 48 hrs.6elore you dig TOLL FREE NUMBER 1•800•424•5555. � <br /> �' <br /> 11 - n O � <br /> �_I � , <br /> � , <br /> 0- � � � �" (/� <br /> _� �,� <br /> _ �' � i ,l�j/' O <br /> 1 ,j �� �,� � <br /> 1 � :,� r <br /> I�I nCKNOIYLEDG[M[NT i��CONDI710NS <br /> 1_( Th��untlers�yned ownevapphcan�hereLy�yrees lo hold'und sa�e h�rm- <br /> —� less Ihe Gly ol Everell '�om any and all claims lor Aamages cosis. <br /> � rapenses. or causes ol :,clion Ihal ma; a�i:e becavse of i��StaUnlion <br /> and mlinlenanCe OI th2 iTprOVP.meni Or o�her nphPo4W 1� uiC IiPfEto <br /> - appheA lor and Iwther a��rees to remnve ��amr, upon nr�ti� r ��om Ine <br /> Approved�or Cons�rurlion Dalt� Cdy and to replace pu61�c properry damage7 mereby <br /> FINAL IIJSPE::TION Date . _— <br /> Approved as Consiructed Si9natwe ol Apn��cant Date <br /> ����� PUBLICWORKSUEPAF7MENT �4'ORK pUTHORIZ.ED F1Y TNIS PERMIT MUST BE .�.fARTED WITMIN <br /> '���-{� d200CetlarStree�, 180 DA'fS OF DATE PFF'MIT IS ISSUED AND TI�cr7EAFTER IS 1"O <br /> � Evciett WA 98201 BE DILIGENTLY PURSUEJ TO COMPLETION. iHIS PERMIT MAV 6E <br /> Paone�789-BF310 CANCELLED�V THE CI7V UPC4 P.NY STOPPAGE OF WORK ON THIS <br /> I PNOJLCT OVER 90 DAvS DURFTION <br />