Laserfiche WebLink
Date 3/19/85 <br />Appllcation For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pu01rc WorY� Pmmil • <br />eiav oeo� .,�� �y5� <br />PUELc Worke Fee s <br />Totsl Fee <br />Lass Apo� Fee PaE S <br />Bal�nce Uue 5 <br />14 8� <br />Lawrence D. Whittekiend 7113 Beverly Blvd. Everett 98203 355-}d8� <br />Owner Malling Address City Zip Phone <br />Same <br />Appticant Meiling Address Ci�y Zip Phone <br />Addition to existing residence <br />Descrihe Proposad Work <br />Prolect Address (if knc.m) <br />Attach lour (4) coples of piens lo� proposed work - Draw to scale and note the following as applicable: <br />� Prnperty Lines • Centerline of street <br />• Outline end dimansions ol ell existing and • Indicate Norlh <br />proposad structures on tha lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall 6e made 24 hrs. in advance - phone 259•881 5. <br />2. All work shall be perlarmed In accordarce wilh Ihis pe�mit and current City ot Everett Design and Construction <br />Standerds and Specificatlons <br />3. Cell Location Underground Service 4B hrs. befoie you dig. TOLL FREE NUMBER 1•800•424•5555. <br />���/rot.,t� <br />f����i /����� 3�S/b � <br />!� � <br />� /' a/ <br />/,�Y, uvaNb� w �,�caw✓%�,( ,�/`✓G'�"'�' <br />l `�'JN <br />Approved lor Construction <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />�/ <br />� <br />O <br />r <br />� <br />� <br />a <br />The undeisic�ned owner/applicant hereby agrees to hold and save harm� <br />less Ihe City of Everett Irom any antl all claims for damages, cosis, <br />expenses, or causes of action that may arise because of inslallalion <br />and mainlenance ol Ihe improvemenl or other righ�•ol•wey use hereto <br />applied lor and luriher agrees lo �emove same upon notice irom the <br />Date City antl to replace public property damaged Ihereby. <br />FINAL INSPECTION Date <br />Approved as Constructed <br />everett PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Siree� <br />Everett, WA 98201 <br />Phone: 259�8815 <br />Signature ol Applicant �ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />13E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />z <br />0 <br />� <br />.� <br />� <br />m <br />.+ ., <br />-� -n <br />.. .� <br />Nm <br />cv <br />m� <br />om <br />m� <br />oz <br />D -1 <br />rx <br />.» .. <br />-i N <br />< <br />� <br />O A <br />� a <br />-� m <br />x <br />m� <br />0 <br />� <br />�m <br />m� <br />�9 <br />� <br />-� <br />x <br />a <br />z <br />� <br />� <br />� <br />Z <br />0 <br />� <br />.. <br />� <br />m <br />