Laserfiche WebLink
� Appikaeon Par � <br /> PUBL�C WORKS PERMIT <br /> Public Works Pertnit N <br /> PUB�IC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425)257•8810 Building Permit# <br /> TYPE OR PRINT ONLY Public Works Fee$ _ <br /> Plan Check No.: B9910-027 <br /> Owner Job Address: 6515 CYPRE55 ST Phone <br /> Owner: LOZOTT JEFF <br /> Applicant Tenant: Phone <br /> Application Date: 10/14/99 <br /> Proposed Use: STORA6E � <br /> Describe Proposed Work _ Type of work: ADDTflON OF STORAGE TO GARAGE <br /> Office Set ]ob Se! f-ire/Planning SeL � <br /> Approved For Pertnit: Date: By: ♦�^ <br /> v� <br /> PROJECTADDRESS (if known) _ � <br /> Attach lour(4)copies plans lor propased worK-Draw to scale and note the lollowing If applicable: O <br /> •Properry Linas •Outline and dfinensions ol al�existlng and proposed structures on the lot •E�istlng and proposed utlli0es � <br /> •Centerline ol straet •Indicate North •3how any proposed grading chenges •Show meesurements <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 this permit and curcent City of Everett Design and ■ <br /> Construction Stendards and Specifications., r <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-80(1-424-5555. ♦/� <br /> \/♦ <br /> O <br /> 'IIDLI(; 1vORKS �Et7Ml'� a <br /> NOf UIR�P1 <br /> f J.___, <br /> �nTF- ---�U � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save hartnless <br /> the City of Everetl hwn any and all claims lor damapes,costs,ezpenses,or <br /> pprove or ons ruc on a e aeuses ot actlon that mey ar(se because ol fnstalletion and meintenence af the <br /> Improvement or oMrer dght-of-way use hereta applied lor and further apreea to <br /> remove same upon noHce(rom the Ciry and to repiace publk property dam- <br /> aged Nereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signe ro o p ican a e <br /> WORK AUhpR�p BYlHIS PEFi�MR MUST BE STAFiTEp WfTHIN 1B0 DAYS OF DAiE PERMfT IS ISSItED PNO hEFiFAFIER IS i0 BE DLKiENTLY PUFiSUEp 7p <br /> CAMPLEf70N.THIS PERMR M4Y BE CANCELLFD BYTIf CfiY UPON ANY STOPPAGE OF WC%iK ON iHIS PRQECTOVER 90 DAYS DURAiI(xJ. <br />