Laserfiche WebLink
Date ?�2�94 u <br />� Application For <br />PUBLIC�iNORKS <br />¢ <br />b <br />Print or Type Only � <br />N <br />� <br />Cronin Dev 528 91st�. <br />Owner <br />� <br />� <br />Ci <br />Applicant <br />De�cribe Proposed Work <br />Tf► on�TiA!� - (_l5 <br />PERMIT <br />Oa00 U7tl <br />r�000.s(o� <br />U7 M � M � M <br />Av�I� fiverett <br />� ��^.,Mailing Atltlr�s <br />oco�xr��� <br />O J� J W� N� <br />_]t fild SG�f00 <br />Maiiing qtldress <br />New house <br />Projecl Address�if knowN _ �bll CO].by <br />� C� O O <br />c� in <br />0 o ci .y <br />u� n v� ri <br />,o .� �; ., <br />� � 33'�-a4�500 <br />�7 0�„ r` ���y Zi� <br />�- o l� {y�j <br />Q O .r 2 <br />3 St ti .-� 4) <br />Ci�y ZiP <br />Allach lour �4) copies ot plans lor proposed work • Draw to scale and t <br />no e the Ioilow�ng as apUlicaLle: <br />• Property Lines <br />A Outline and dimensions ol all existing and <br />proposea structures on ihe lot <br />� Existing and proposed ut�litles <br />Pv01¢ WorFe Perm�� � / <br />eme ov� . 43�i�9� � — <br />Pubnc Workefea <br />TOIqIF¢e S <br />lese AoOI Fee Peie S �7�.y�. <br />Baiance Due $ !.�(/ <br />--� <br />• Centerline ol street <br />• Intlicatr. North <br />• Show any proposed gratlir�� changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hrs. in ativance • phone 259•8810. <br />2. All work shall be peAormed in accordance with this permit and current City ol Evereq Design and Conatruction <br />Standards and Specilicalions. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800•424•5555. <br />•1. ����r1GG� �{ ��rr., �\� f 'r .; ��- <br />. I r L �,G1b'ry-; <br />�� <br />�Y_ <br />�PP�o ,d lo� ConsNucliOn <br />/ -�t�'G� <br />RNAlINSPECTION <br />ApProved as Constructed <br />�PUBL!CWORKSDEPARTMENT <br />3200 Cedar Street <br />Everett, WA g8201 <br />Phone:259�8810 <br />Date <br />Phone <br />W <br />� <br />�w <br />_ / <br />� <br />� <br />'�w <br />_ I <br />O <br />a <br />ACKNO�VLEDGEAIENT OF CONDITIONS <br />The unde�signed owneUapphcanl here[�y agrees to hold and s.ace n_�inr <br />less Ihe City cf Everetl Irom any and all claims tor damages, cos,Is <br />expenses. or causes of action that may arise 6ecause ol installaticn <br />and maintenance of Ihe improvement or other right�ol-way nse herr,In <br />applied for and further agrees to remove same upon noticc ircm the <br />City and to replace public property damagetl theleby. <br />WOR THOR2ED BY THIS PEFiMiT MUST BE STApTED WITHIN <br />1 �bAYS OF �qTE PERMIT IS ISSUED AND THEFEAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT Mqy g� <br />CANCELLED 8Y THE CI7Y UPON ANY STOPPAGE OF WORK O�J THIS <br />PFOJECT OV[R 90 DAYS DURATION. <br />