Laserfiche WebLink
-' Pu01ic Warka Permll• <br /> •.,e <br /> , eiaa.o�n�• <br /> Applicatlon For <br /> PUBLIC WORKS PERMIT PueTo�FesFea s <br /> Lesa�oc�Fe�PNd S � <br /> Bauncs Due S <br /> Print or Type Only <br /> Plan Check No: B 47684 SEPA Phone � <br /> Owner ppplicat.Date: �3/08/95 <br /> Job Addrees: 30b CROWN DR <br /> Owner: JOHNSON CAROL <br /> Tenant: phone <br /> Applicant Proposed Uae: SItiGLE FAMILY RESIDENCE <br /> Deac. of Work: <br /> ADD UNHEATED SUNROOM� CONVERT GARAGE TO <br /> Describe Propased Work <br /> OFFICE <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMIT: DATE_/_/_ BY � <br /> _ � <br /> Project Address(if known) � <br /> �� <br /> Attach four(4)copies of plans for proposed work• Draw to scale and note the tollowin9 as applicabie: � <br /> • Property Lines • Centerline ot street <br /> • Outline and dimensions of all existlng and • Indicale North <br /> propased structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities � Show measurements /� <br /> W <br /> DO NOT WRITE BELOW THIS LINE �\ <br /> \% <br /> PERMIT CONDITIONS � <br /> 1.All calls tor inspection shall be made 24 hrs.fn advance-phone 259•881 O. <br /> 2.All work shall be performed in accordance with this permit and current Cily of Everatt Design�nd ConstNction <br /> Standards and Specificationa � <br /> 3.Call Locatfon Underground Service 48 hrs.be(ore you dtg.TOLL FREE NUMBER 1-500•424•5555. <br /> O <br /> PUBUC W09KS PEPAaIT r <br /> 1ip� REOUIRE� ♦A <br /> ♦/♦ <br /> !1 Y O <br /> u AT E`'��-�-'�---• <br /> a <br /> ACKNOWI.EDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less Ihe Cily of Everett from any and all claims lor damages, costs, <br /> expenses, or causes of action that may arise because ot instailation <br /> ' and mainlenance of lhe improvement or olher right-of•way use hereto <br /> applied lor and lurther agrees to remove same upon notice trom the <br /> Approved for Constructfon Date Cily and to replace public property damaged thereby. <br /> FINAL INSPECTION Dale Date <br /> Approved as Consiructed Si9nalure oi Applicanl <br /> WORK AUTHORIZEQ BY THIS PERM�T MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ���� 3200 Cedar Street . BE OILIGENTLY PURaUED TO COMPLETION.THIS PERMIT MAY BE <br /> ���rr Everelt,WA 98201 CANCELLED BY THE GTY UPON ANY STOPPAGE OF WOFK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />