Laserfiche WebLink
�` Applicalion For Dh�e i <br /> PUBLIC WORKS PERMIT � <br /> � <br /> Public Works Permit k <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425) 257-8810 Building Pertnit B <br /> TYPE OR PRINT ONLY Pubiic Works Fee$ <br /> Owner Plan Check No.: g9908-010 Phone <br /> ]ob Address: 4724 GARDNER AVE <br /> Owner: SPESOCK)EFF <br /> Applicant Tenant: Phone <br /> Application Date: 8/5/99 <br /> Describe Proposed Work _ Proposed Use: GARAGE/SFR 1 � 1 <br /> Type of work: NEW A7TACHED GARAGE ��� <br /> Office SM ]ob Ser Fire/Planning Se� � <br /> � <br /> Approved For Permit: Date: By: I_ <br /> V� <br /> PROJECT ADDRESS (if known) � <br /> Attach tour(4)copies p�ans for proposetl work-Draw to scaie and note Ihe lollowing if applicable: O <br /> •Properry Lines •Outline and dimensions of all existing and proposed stnictures on the Iot •Ezisting and proposed utililies � <br /> •Centedine of street •Indicate North •Show any proposed grading changes •Show measurements �i <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with ihis permit and current City oi Everett Design and ■ <br /> Construction Standards and Specifications., r <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ♦/� <br /> \r♦ <br /> ,� � O <br /> iLLIC WpIIKt �ERr,u � a <br /> I.Gi �JJ1FsA <br /> �Y.---�,\/ <br /> �ATE,__�(,¢._�_. <br /> I <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the Ciry of Everett Irom any and ali claims lor demages,costs,exponses,or <br /> pprove or onstruc ion a e causes of action that may arise because ol installatlon and maintenance of the <br /> improvement or other right�of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public properry dam- <br /> aged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> igna ure o pp ican a e <br /> VJORK AUT}IORIZED BY THIS PEfiMR MUST BE STARIED WRH�N 1B0 DAYS OF DATE PERMIT IS ISSUED AND iHEREAFZER IS TO BE DILIGENTLY PURSUED TO <br /> CDMPLETION.THIS PERMR MAY BE CANCELLED BY THE CRY UPON ANY STOppAGE OF WOPo(ON THIS PRQIECT OVER 90 JAYS WRATION. <br />