Laserfiche WebLink
�' Applica:ion For D'aro <br /> � PUBLIC WORKS PERMIT <br /> � PUBLIC WORICS DEPARTMENT Public Works Permit N <br /> 3200 Cedar S'�eet <br /> Evereit, WA 98201 (w25)257•8870 Building Permit p <br /> TYPE OR PRINT ONLY Public Works Fee$ _ <br /> Plan Check No: B 62683 SEPA <br /> — Applicat.Date: 06/OB/99 <br /> Owner Job Addrese: 8409 HOLLY DR Phone <br /> Owner: GIRARDI RRIST?NE <br /> Tenant: <br /> Applicant Proposed Uae: SINGL': FAMILY RESZDENCE Phone <br /> Desc. of Work: <br /> CONSTRU�'T DETACHED r,ARAGE <br /> Describe Proposed Work _ � <br /> OFFICE SET JiJfl SET <br /> _ APPROVED FOR PERHIT: DATE_/_�_ gy!_ � <br /> �/ <br /> PROJECT ADDRESS (i( known) � <br /> httach four(4)copies plans for proposed work•Draw to srale antl note the following il applicable: � <br /> •Property Lines •Oupine and tl;mensions ol all exisling and proposed slructures on ihe lo� •Existing and proposed utilities <br /> •Centerline oi street •Indicate Norih •Show any proposed grading charges •Show m��asurements <br /> DQ NOT WRITE BELOW THIS LIN� � <br /> PERMIT CONt' ,-IONS: � <br /> 1. All calls for inspection shall be made^4 hours in advance - phone (425) 257-88'i 0 <br /> 2. All .vork shall be per(ormed in accordance with this permit and current City of Everett Design and ■ <br /> Construction Standards and Speci(ications. , r <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-900-424-5555. //'' <br /> 'UDLIC WOqKS PBl99,1J.0 ��� <br /> M07 EQUIf�6.1� O <br /> , �____�vJ►�__.. �. <br /> i6TG__ / <br /> 7 <br /> �rtvewa� c?nd -�v-�v��c� iM�,.vJetMC✓f�� �r`2 � ✓1 ��7,�C� c�� <br /> �-�v� �� �� �I�Pir`C w;I� �e T�-� le7l-� �wen� �e� <br /> C �e2� �' -�i� -�ce v-� cl�/.t�� -{z ��2+G� C�c� o-F S�cic �..a 1 k . <br /> / <br /> ACKNOWLEDGEMENT GF CONDITIONS <br /> The undersigned ownedapolicant hsreby agrees to holtl and save harmless <br /> the Ciry ol Everett irom any and all claims for damages,costs,expenses,or <br /> pprove or ons ruc ion a e causes ol aclion that may arise because of installatlon and maintenance of Ihe <br /> improvement or olher righhol-way use hereto applied lor and further agrees to <br /> remove same upon notice Irom the City and to replace public pmperry dam- <br /> agetl thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constmcted <br /> ignature o pp icant a e <br /> WOHK AU?}IORIZED BY THIS PERMR MUST BG STAFIiED WfTHIN 180 DAYS OF DATE PERMfT IS ISSUED PND THERFAFfER IS TO BE DIIJGENTLY PURSUED TO <br /> COMPI.f710N.hIIS PERMR MAY BE CMICELLD BY 7HE CfTY UPON ANY STOPPAGE OF WQRK ON iHIS PROJECT OVER 90 DAYS DURATION. <br />