Laserfiche WebLink
TYPE OR PRINT ONLY <br />Applicant <br />Describe Proposed Work <br />/ �pliwllon For <br />PlJBLIC 1NORKS PERMIT <br />PRUJECT ADDP.ESS (if known� <br />PUBLIC WORKS DEPAR i �1ENT <br />3200 Cedar Street <br />Evere�t, WA 98201 259-8810 <br />Plan Check No: 8 56569 <br />Appllcat.Date: G9/23/97 <br />Job Addre: 6916 BEVERLY LN <br />Ownar: ARNESON BRET <br />Tenant: <br />Propoeed Uee: SINGLE FAMILY <br />Deec. of Work: <br />ADDITION — ATTACHED GAAAGE <br />Da� <br />Public Wnrks Permit M <br />Building Permit p _ <br />Puulic Works Fee $ _ <br />SEPA <br />RESIDENCE <br />OFFICE SET _ JOB SET_ <br />APPRVD FOR PERMIT: DATE_/_/_ BY! __ <br />Adach tow (4) copies ol plans lor proposed work - Draw to sc31e and note Ihe lollowing il appiicable: <br />Phonc <br />Phone <br />•Property Lines •Outlino and dimensions of all oRisting and proposed structures on the lot •Existing and proposed utili�les <br />'Centerline ol streat •Indicato Nonh •Show any proposed grading changes •Show measuremenis <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advarce - phone 259-8810. <br />2. All H ork �hall be performed in acccrdance with this permit and current City of Everett Design and <br />Construction Stendards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />'�;InLIC \ ORKS �ERMI1 <br />�.:rl EUUIRE) <br />� ,�... '! - <br />• � � � __.___..._.__.._._ <br />Approved lor ConsimcPon Date <br />FINAL'NSPECTION Date <br />,Ap;�roved as Constmcted <br />� <br />C� <br />♦i� <br />V♦ <br />O <br />a <br />ACKNOK'LEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby egrees to hold nnd save harmless <br />the City ot Everep Irom any and all claims for damages, costs, exFenses, or <br />causes of action thal n:ay arise because of Installation and maiMenance ot <br />the improvement or other right-of-way use he�ato applled lor and lurther agrees <br />to remove same upon notioe Irom the City and to replace public property <br />damaged thereby. <br />Signature ol Applicanl Date <br />WORK hUTHORIZ[0 BY THIS FERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PEPMIT IS ISSUED ANO THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT A1AY BE CANCELLED BY THE CIN UPON ANY STOPPl.�iE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />