Laserfiche WebLink
Date <br /> Puonc wo.ks Permn. <br /> ����—� <br /> Application For Ditlg.DeO�.• <br /> PUBLIC WORKS PERMIT P,��;o,r`ecFec S — <br /> Less 4pul Fne Pai� 5 <br /> Pfint or Type Only Plan Check No: C 48429 SEPA ea�,��,�c„� S <br /> Applicat.Date: OS/25/95 <br /> Job Addrese: 2230 GALE PL <br /> Owner: SMITH DUANE <br /> Tenant: <br /> Propoaed Use: SINGLE FAMILY RESIDENCE <br /> Owner Desc. of Work: <br /> CONVERTING GARAGE TO LIVING S;':.CE � Phone <br /> Applicant OFFICE SET JOB SET _ <br /> APPROVED FOR PERMIT: DATE p Phone — <br /> _/_/_ BY <br /> Describe Propased Work _ <br /> Project Address�il known; � <br /> Attach lour(4) copies of plans for proposeo wu�k • Drav: to 5r.al•a ,lna ncte th�? foibwmg as anulir.abie� � <br /> • Property Lines � �� <br /> • Centerline ol street � <br /> • Outline and dimensions ol a!I existing and • Intlical= North <br /> proposetl siructwes on Ihe to� • Snow any r,ro�osed grading changes <br /> • ExiSting and proposed utilities • Show measuremenls <br /> DO NOT WRITE BELOW THiS LINE � �� <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be matle 24 h�s.in advance-phone 259•8810. <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction � <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424•5555. <br /> � <br /> O <br /> �`UBLIC WORKS PEF1iAA►T ��UBI_fC WORKS PEBMIT � <br /> ��Of REOUIII[R t:0i RE�UIREO (^ <br /> �I <br /> aY.�_,�.._. i iY O <br /> riATE_,�,. OhTE S � `� <br /> a <br /> ACKNOWLEDG[MENT OF CONDIT�ONS <br /> ___ _ The undersignetl owner/appGc2nt hereby agrees to hold and save harm- <br /> � less Iha City ot Everett Irom any antl all claims for damages. cosls. <br /> ; expenses. or causes ol aclion Ihat may aris= because of installation <br /> ��. and maintenance o! Ihe improvement or other righFobway use hereto <br /> Approved tor Construction � �PP��ed �or and lurther agrees lo remove same upon notice Irom Ihe I <br /> Da1e � C�fy antl to replace public property damao2d thereby. <br /> i <br /> FINAL INSPECTION Date <br /> Approved as ConStructed Signature ot Applican! Date <br /> ��r� PUBLIC WORKS DEPARTMENT I WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarSlreet I 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ���r Everetl,WA 98201 aE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8E <br /> Phone:259•BB10 I CANCELLED BY THE C�TY UPON ANY STOPPAGE OF WORK ON THIS <br /> PRO.IECT OVER 90 DAYS DURATION. <br />