Laserfiche WebLink
i <br /> ( � <br /> � al�on For ` �� I <br /> �wi� P'UBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT public Works Permit N <br /> 3200 Cetlar Street <br /> Everef6 WA 98201 709-8810 Building Pertnit M <br /> iYPE OR PRINT ONLY Public Works Fee S _. <br /> Plan Check No: C 5:'034 SBPA • <br /> Owner Applicat.Date: 11/C7/97 Phone <br /> Job Ad?reas: <7b9 t'ARDNER AVE <br /> Owner: BERRY JOHN J <br /> Tenant: <br /> Proposed Uae: SINGL6 FAtiILY RESIDENCE <br /> Appiicant DeeC. of 4�ork: Phone <br /> ADDITIONS OF BEDROOIi AND AEC ROOM <br /> Describe Proposed Work _ _ � <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> � <br /> - -- �I/ <br /> PFiOJECT ADDRESS (if known) � <br /> ittech four(4)coples of plans for proposed work-Drew to scale and note the lolbwing if applicable: O <br /> •Pruperty Lines 'Outline and dimensions of ell existing and propnsed s'vctures on the lot •Existing and proposed utilflfes <br /> •Centerline of street •Indicate NoAh •Show any proposed 3rading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shali be made 24 hours in advance- phone 259-8870. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> v/ <br /> O/� <br /> R�N�T4%kltltti-� AL�W1� ii <br /> �oUIRG� <br /> W'�--�,—�J(/t�• <br /> �ATE.�� .I 1 <br /> ,�� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> I � The undersigned owner/applicant hereby egrees to hold and eave harmless <br /> � the City ol Everett hom any and all claims fw damayes,cwts,expenses,or <br /> � causes ol actlon that may arise because ol installatbn and mainlenance of <br /> Approved(or Construction Date <br /> the improvement or other rigMrol-way usa he�eto applied lor and lunhx agrees <br /> to rertrove same upon notice hom the City end to replace puMic propeAy <br /> damaged thareby. <br /> FINAL INSPECTION Date <br /> � Approved as Conslructzd <br /> i <br /> � Signature of Applicant Date <br /> vVORK AUTiiOflIZED BY TH1S PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED ANO THERFAFZER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETIGN.THIS PcP,M1T MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DUfiATION. <br />