Laserfiche WebLink
Date iwoi��wo.��r�,mn. <br /> Application For a�ao oeo�.• <br /> PUBLIC WORKS PERMIT Pue�Kww��Fee <br /> To,a�«. s <br /> � L[St 4DDI.F[!��rtl s <br /> Print or Type Only e,�,�«o�� s <br /> . <br /> Plan Check Nos 8 44891 SEP11 <br /> t�pp1lcat.Date: 07/12/94 <br /> Owne� 3ob t�ddia�ss 1130 COLBY 71VB Z�n Phnnr, <br /> Ownar: WILLARD MILLIM! C <br /> Tenants <br /> Propo�ed Uee: 6INGLE F1IMILY RESIDENCB . <br /> D��c. of Works _. <br /> AppliCant �W G1IRAGE Zip Phon? <br /> Deacribe Proposed work OFFICE SET JOB SET <br /> APPROVBD FOR PERMITs DATE_/_/_ gY <br /> ----------�------------ W <br /> Project Address Id knowm __ ________ � <br /> Attach lour 141 coP�es ol Plans lo� uroposed worK � D�av: ia_c.�i•�a:,o nr.re ���e'onuwiny as applir.abie: � <br /> • Properfy Lines � LF:�1�BfIlOP nt S�reel � <br /> • OvUine and dimensions ol all existing antl • I�CiCat9 Norih <br /> pfOpoSBd ShUCtUreS on ihe lot • $hOw 8ny rr0005eA�rBtliny GhOn.�PS <br /> • Existing and oroposed utilities • ;how measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 7.All calls for inspection shell be maCe 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in accordance wilh fhis permit and currenl City ot Evereft Design ana Construction <br /> Standards and Specifications. <br /> - 3.C�II loution Undsraround Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> PUBLIC WORKS PERAl1T O <br /> NO? AEQUIRED <br /> �•�■���:.�:x_�� s,, �,,. <br /> DATE 7 2 �X /A <br /> �/♦ <br /> �NITIAL INs►ECTION �� �O�"� ����5 O <br /> KIRK tRO0K8� ji�fv S�c�c��w`"^• A <br /> ii <br /> OATE 7- i 3 -9 ¢- <br /> �e� �pf SeW"' ACKNOWLEDGEMENTOFCONDI:IONS <br /> � o � iho �.,nder��aned ownei/applic2nt hereby agrees to hold and sae�e harm• <br /> � Oenu��� "p � ��� �7 1� `i iess the Gty oi Everell Irom any antl ali claims lor damages. cosls. . <br /> �� "6 / R 0 7 i e.uenses o� causes ol act�on iha� may anse hecause ol insiailadon <br /> �-��� �K,i� S�'S�y� '���(T -�- and ma�„iona�ce nt tne �mpro�ement or other nght-ol•way use hereto <br /> _ I acP�:ef. �or and �urther agrees to remo�e same upon notice ��om ihe <br /> Approved tor Construction D�le Gty and to replace publ�c Oroperry damaged thereby. <br /> I <br /> � <br /> FINAL INSPECTION Date <br /> Approved as ConsVucted Sionalure of Applicant Dale <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CetlarStreet t80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 70 <br /> Everetl,WA90201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> �,..,. ��� cc•� GANCELLED BY THE GITY UiON ANY STOPPAGE OF WORK ON THIS <br /> ..�n �crr n�.co on nnvc nl iAATI(lN. <br />