Laserfiche WebLink
Date 2�16/93 <br />D -�-z8-s <br />Application For <br />�� RUBLIC WORKS P�RMIT <br />TO PnSTING_ R�2�!�3 <br />Print or Type Only <br />P�ee� wo.k: aa�mn > <br />BiEg. DeO�. � 390 76 <br />PublicWorksFee $ <br />iolalFee <br />�ess AoO� Fee Paitl � �% <br />Balance Due $ '�Q <br />Sonshine Homes Inc PO Box 1344 Snohom;ch 9829] '�'�4-2000 <br />Owner Mailing Address City Zip Phone <br />A1 Thom Same az above <br />ApplicaM rviailing Adtlress Ci:y Zip Phune <br />C'escribe Proposed Work New house <br />Project Address (if known) <br />Attach four (4) coG�es ot plans for proposed work - Oraw to scale and note the tollowing as applicable: , . <br />• Property Lines • Genterline of street . <br />• Outline and dimensions ot all existing and • Indicate Norih <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show mearuremenis -- , <br />P'ERMIT CONDITIONS . <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />?. All work shall be performecl in accurdance with this permit and current City of Everett Design and Construclion <br />Standards and Speci(icationa � � <br />3. Call Locati� ���. Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•�500•424-5555. <br />for Construction <br />/ �(� �/^, <br />� <br />O N I <br />Cb �� ��� �.,o <br />eQ � e� e C� <br />�� � <br />�,,� <br />r1 i <br />���� <br />� � <br />G�� , l,�"� � <br />� �1�� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />���e� ��,�e <br />�� <br />Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everett, WA 98201 <br />Phone:259-BA10 <br />W <br />� <br />� <br />� <br />The un�ir.rsigned owner/applic3nt hereby agrees �o hold and save harm- <br />less the Ciry of Everett from any and all claims for damages, costs, <br />ezpenses, or causes of action ihat mzy arise because of installation <br />and rr1aintenance o he improvement or other right-ohway use hereto <br />appli d for and fur r agrees to remove same upon notice from the <br />City a id to replace ublic property damaged thereby. <br />, 4 � 93 <br />e:.. ,�„ ....i� „� Date <br />WORK ACYTRBRiZEO�Y THIS PER�d1T MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS i9SUED AIJD THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COIv1PLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />