Laserfiche WebLink
Date 7-19-94 � ��,�,��<<��o,.sa�,,,,� <br /> 6,�„ ���, , _ 44954 <br /> Applir,ation For <br /> PUBLIC Vt�ORKS PERMIT P1totalFeeF"C S <br /> Less oeul.Foe PaiJ S - <br /> Bnlanrr pur. S <br /> Print or Type Only <br /> Keith Anderson 1801 Lombard Ave Everett 98201 252-2851 <br /> OWnBr Mar,inr ,•'res5 City !iP <br /> an�;��, <br /> Papi Design Contact: Rick Anderson 258-2829 __._— - -- <br /> Applicant <br /> Pd:�d�nn Address .-- Gitv ZiP Phone <br /> Describe Pronosed work 2nd story_ addition ___.—__— --____— --- --- <br /> _ __-- --- -- � <br /> Project Address UI knowm _ 1801 Lombaid Ave _____., ___—— — � <br /> �� <br /> Attach four(4) coP�es of Plans fo� t-roPoseU worK- Diav: tn _r;I.� .iny noie �na totlowing as aPGlicabie: � <br /> • Pronerty Lines • Genterl'm? of stre�t <br /> • OWline and dimension<_�. of all ezistin9 and • Indicate Nor�h <br /> proGosed Structures on Ihe lot • �how a��Y '�oposed gradinq r.nanuas <br /> • Exis�ir�g and proposed utilitiP.s • Shnw measuremen�s /� <br /> W <br /> DO NOT WRITE 6ELOW iHiS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advance- phone 25J-8810. <br /> � 2.All work shall be performed in accordance wilh this permit and current Ciry of Everelt Design and Construction <br /> Standards and Specitications. � <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FRF.E NUMBER 1�•424•5555. , <br /> O <br /> d � � <br /> �� � <br /> � <br /> �2�-�4 a <br /> AGKNOWLEDGEMENT OF CONDITIONS <br /> th,r undersigned owner/applicant hereby a9�ees to hold anA save hann� <br /> ---- ---- --�---i ie;s ;he City of Everett Irom 2ny and ali ctaims for damages. costs. <br /> i erpen5es. o� cauSeS 0f action that may anSe heCause Of lnsiallafion <br /> � and mamtenanr.e o! tne improvement or oiher rigM-of-way use here�o <br /> _ _ � ,ip�hn,-; for and �urther agrees :o remove same upon notice from lhe <br /> Approved for Construction �=��I� � C,'.v and to repiaca Uubhc properiy dama9ed thereby. <br /> I <br /> � - <br /> FINAL INSPECTION Datc I Date <br /> Approved as Constructed <br /> I S�9naWre ot App��Can! <br /> I LVORK AUTHORIZED BY TI-IIS PERMIT P.iUST BE STARTED WIT <br /> ��A�� PUBLICWORKSDEPARTME^:i 180 DAl'S OF DATE PERMIT IS ISSUFD AND THEFEAFTER IS TO <br /> � 3200CedarStreet I aE DILJGENTLY PURSUED TO GOMPLETION. THIS PERMIT tdAY BE <br /> Everetl,�NA 98201 I GA"JCELLEU BY THE CITY UPGN ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 ��. PRO.IEGi OVEF 90 DAYS DURA7IGN. <br />