Laserfiche WebLink
�`'! QOSTING MAY 2 6 1998 <br /> � APPlication For � <br /> PUBLIC WORKS PERMIT Date 12-19-97 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit M J`Ill� <br /> 3200 Cedar Streel <br /> Everett,WA 98201 259•8810 Building�ermit A 57490 <br /> TYi't OR PRINT ONLY Public Works Fee 3 �/ <br /> Tri Star Homes Inc PO Box 6142 Lynnwood Wa 98036 425 775 2468 <br /> Owner MailingAddress City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house Basic 1259 � <br /> � <br /> � <br /> -- � <br /> PROJECTADDRESS(ifknown) —5�35-Elm St Lot 3 SP 116-95 � <br /> Attach lour(4)copies of pians for proposed work-Draw to scale and note the tollowing il applicable: O <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Exisiing and proposed utilities <br /> 'Centerline of street •Indicate North •Show any proposed greding changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> �, ����I�--ra+i cv, -�-��c �, --�d r �r oo-� -�-o� �� o�� ��- (/� <br /> , J 0'.-C%-`I o:G4r�' O <br /> � ��� �-�-'v���ec� -{-d ��✓'r� � �- . N 57490 <br /> nUILD 8B6.�;, � <br /> �i_UM° 77.GG <br /> ,iECH 60.OG <br /> S�CHG 4.54 <br /> DRIVE 20.0�. <br /> �i 3].37:, <br /> 5EliER 70�OG <br /> i;iILITY 1?96.G0 <br /> �Ol�i� �413.7� <br /> i�i-i c'; '_,, ,;_�.�- <br /> i i Oi!3939 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � -7 The undersigned owner/applicant hereby agrees to hold and save harmless <br /> � . � ���? � (�� L �7 the City of Everett from any and all claims for dama9es,costs,expenses,or <br /> Approv�d for Con ction Date causes ol action that may arisc bcrause of installation and maintenance of <br /> ihe improvement or other right-of•way use hereto applied for and fuAher agrees <br /> to remove same upon notice from the City and to replace public proper:y <br /> � damaged thereby. <br /> INAL INSPECTI Date <br /> Approved as Construcled <br /> l 7-9g <br /> Signature of Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED 8Y THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br />