Laserfiche WebLink
Date S/13/93 <br />qp0�icetlonFor TO POSTING -, ��. I�t� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />n.eitiwen�r.,mn• 3 z�E� <br />ewo ow� . _405A7 <br />aerew�.��� � <br />i... �roi r.s v.a � <br />u.a��.o�� f .�Oe�� <br />OOZ - 3z Zvo //8J/ <br />Jerry L Smith 627 Colbv Evere[t 96201 259-3791 <br />Owner Me1Nr.gAaaresc City Zlp Phone <br />OtV[ICT <br />qpplican� Mailinq FEdress <br />Nev garage <br />Describe ProposeE Wo�k __ <br />Pmiect Adaress 1�1 Vnawnl 627 Colby <br />Allacn low �4� copies ol Plans lor pmpoSeE work- Draw ta scale and nole t�e Iollowin8 as applicable: <br />• Property linns • Centetline ol atreet <br />• Oulline anC Eimensions ol all ezis�in0 end • InCicate Norlh <br />pmposed svuclures on t�e lot • S�ow any p�oposed gratlin0 �hanBes <br />• Eu6�ing anC pmposeE utililies • Show mea5uremeni9 <br />y <br />PERMIT CONDITIONS <br />7. All calls lor inspectlon shall be maCe 24 hra. in aEvence-phone 259�E810. <br />2. All work 6haN be pedormed fn eccortlance wit� I�is permil and cunent City ol Everetl Dea1Bn antl Constmctlon <br />StanAertls anA Spacilicetlona <br />9. Call Lwalion UntlerprounE Service 4B hrs. �elore you CIB. TOLL FREE NUMBEfl 7•800424•5555. <br />Col�izacs� /�'d�T� O,z�, -S�dtr� �, S-�-�c � s','.,�c.� <br />—/ /'�- `f�' `/'c�"�`�_ <br />AnPmved lor Cen tru`cJjon Dale <br />n / � <br />l/�Yh_.—t's --� /o'G� 3'? <br />FINAI INSPESTION Oale <br />/ o0rovaa ns Lonslmcted <br />i/ PUBLICN'ORNSDCPARTMENT <br />3200 LoEer Slreet <br />Everelt. WA 9B�U1 <br />P�one:Y5B�8P,10 <br />ACKNOWLEDGEMENT 9F CONDITIONS <br />Z <br />O <br />� <br />� <br />0 <br />a <br />The untlersigned ownedapP�icanl hereby aprees to holtl anC savo harm- <br />less I�a City ol Eve�ett Irom any and all clalms lor Camages, costs. <br />eMpenses, or causes al action Ihal may arise bewuse ol ins��.allation <br />antl mainlenance ol I�e improvement or ol�er ng�4a4wey u5e �erelo <br />ap0�ied lor anE luriher eA�ees lo remove same upon nolice Irom Ihe <br />Ciry and to replece public property damageA thereby. <br />G�JnILi � ��'+Yti�{f1 <br />Signatureof pplicanl Date <br />WORK AUTHORIZED BV TNIS PERMIT MUSt BE STARTED WITHIN <br />180 DAVS OF OATE PERMIT IS ISSUED AND THEREAFTER IS 70 <br />BE OILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY TME CITV UAON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />