Laserfiche WebLink
1YPE OR PRINT ONLY <br />Owner <br />Applicant <br />PUBLIC W�RKS PERMIT <br />Describe Proposed Work _ <br />PRO:IECT ADDRESS (if known) <br />PUBLIC'!:'^91!S �'1EPARTMENT <br />,..... •;.;�,:larStreet <br />F:ve� �.. `;. - ;,4 ve'1.0 � 259-8810 <br />Date � I <br />Public Works Permit # <br />Building Permil # _ _ <br />Public Works Fee $ _ <br />Plan Check No: B 58414 SEPA <br />Applicat.Date: 04/03/98 <br />Job Addra: 7317 LOWER RIDGE RD <br />Owner: LARSON WALLACE <br />Tenant: <br />Propoeed Ueec SINGLE FAMILY RESIDENCE <br />Deec. of Work: <br />ADDITION BEDROOM/FAMILY ROOM <br />OFFICE SET JOB SEr <br />APPRVD FOR YERMIT: DATE_/_/_ BY <br />Attach four (4) copies of plans for proposed work - Draw to s:ale and note the following if applicabie: <br />Phone <br />Phone <br />•Properiy Line� •Outline and dimensions of aIi existing ana proposed siructures on the lot •Existing and proposed utilities <br />•Center�ine of street •Indicate North 'Show any proposed grading changes •Show measuremen�s <br />PERMIT CONDITIONS: <br />1. All calis for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. AII work shall be performed in accordance with this permit and current City of Everett Design ard <br />Construction Standards and Specifications. <br />3. Call Locatiun Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />. . . . . . ..UCUC W(ir,. <br />KUT G�UIt+�•° <br />:. .; ,. ...-� � -y� <br />Approved lor Construction Date <br />fINAL INSPECTION Date <br />Approved as Constructed <br />L <br />O <br />♦1�^ <br />V♦ <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agmes to hold and save harmless <br />the City of Everett from any and all claims lor damages, costs, expenses, or <br />causes of action ihat may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and fuAher agrees <br />to remova same upon notice ti�m tho City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />JJORK AUTHORIZED BY THIS PERMIT MUSI" DE STARTED WITHIN 780 DAYS OF DATE PERMR IS ISSUED AND THERUFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PC-RMIT MAY BE CANCELLED BY THE CIN UPON ANY Sl'OPPAGE OF WORK O�I THIS PHOJEC? OVER 90 DAYS DURATION. <br />