Laserfiche WebLink
Application For / <br />OL PUBLIC WORKS PERMIT Date 12/12/95 <br />PUBLIC WORKS DEPARTMENT Public Works Permit k 7 <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 Building Permit @ 9O7R7 <br />TYPE OR PRINT ONLY ) POSTING MAY 211996 Public Works Fee$ <br />Paul Bustard 1373 Blackcap Alley Centeno Is 93292 359-0860 <br />Owner Mailing Address City Zip Phone <br />_ Owner <br />Applicant Mailing Address City .113 Phone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />New house - Basic 1111A <br />1602 Flor! r'.rr Or <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: MECH $60.00 <br />SRC 6 54.50 <br />'Property Lines 'Outline and dimensions of all existing ano proposed stru..... res on the lot •Existing and p tllities <br />4 tY s110.o0 <br />"Centerline of street •Indicate North 'Show any proposed grading changes Show measurements 11100030466 <br />PERMIT CONDITIONS: SVSDEV S1296.00 <br />1. All calls for inspection shall be made 24 hours in advance -phone 259-8810. CHECK $^c079.90 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 4E hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Pour off street (off easement) Pgr:.ing stalls must be provided for each unit - stalls may not <br />be more than two cars deep t(ruidem stalls 'ok'). <br />5, 6nnef,E, tn�wh boo —(a � nor Cfiz,h�c�e s�-1S� t� <br />W <br />It* <br />ttttttttt� <br />ca <br />100 <br />z <br />0 <br />V/ <br />0 <br />a <br />A(ao&_ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />Approv for Construction D to causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />.t dama ereby. <br />LI EC a <br />Approved as Constructed <br />Signa ure of Ap ica Dkip <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />