Laserfiche WebLink
� n^ol¢al�on For — <br /> PUBLIC V, JRKS PERMIT °a1e — <br /> PUBLIC WORKS DEPARTMENT Public Works Permit M <br /> 3200 Ceda�Streel <br /> Everelt,WA 98201 259-BB10 <br /> Bullding Permit M _ <br /> TYPE OR PRINT ONLY Public Works Fee E _� <br /> Owner � pinn Check Not 8 52616 SEPA Phane <br /> Applicet.Qate� 08 20 96 <br /> Job Addreee: 20 B RBAAA LN <br /> Owners HOATON RICHARD . <br /> Applicen� � Tenant s phone <br /> Propoeed Uee: SINGLE FAMILY RESIDENCE <br /> Deec. of Works <br /> Describe Proposed Work REPLACE CONCRETE PATIO WITH COVERED DECK � <br /> _ OFFICE SET JOB SET � <br /> APPROVED FOR PERMITs DATE /_/_ BY � <br /> _ � <br /> PROJECT ADDRESS(if known) � <br /> Attach four(4)copies ol plens lo�pioposed work-Drew to scele ai�d note ihe following If appliceble: O <br /> •Property Unes 'Outline and dimensione of ell exist�ng end proposed structures on ihe lat �Exlsting and proposed utllities <br /> 'Centerline ol street •Indicale Norih •Show eny proposed greding changee •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All cells for Inspection shall be made 24 hours in advance - phone 259-8810. O <br /> 2. All work shall be peAormed In accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6555. H <br /> V♦ <br /> O <br /> a <br /> '�!PLIC WOqKS PFpl�,�r <br /> h0' 9EOUIREw <br /> 'r•_� - <br /> .A7�. 9_�D yL_�. <br /> ACKNOWLEDGCMENT OF CONDITIONS <br /> The undarsigned owneNapplicnnt hereby egrees to hold end save harmless <br /> Ihe City of Everett Irom any and all claims for demages,costs,ezpanses,oi <br /> Approved for Constniclion Dale causes of actlon ihat may erise 6ecause ol installation and maintenence cl <br /> ihe Improvament or other right-of-way use hereto applied for and futlher parees <br /> to remove same upon nolice Irom the City and to �eplace puGlic property <br /> damaged there6y. <br /> FINAL INSPECTION Date <br /> Approved es Construcled <br /> Signature ol Applicant Date <br /> WORK AUTHORi2ED BY THiS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLE�BV THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />