Laserfiche WebLink
� <br /> � �lication For — <br /> P!!�?�.IC �►JRKS PERMIT °��. <br /> PUBLIC WORKS DEPARTMENT Publir,Works Permit q <br /> 3200 Cedar Street — <br /> E✓erett,WA 98201 259-8810 <br /> Buiiding Pertnit# <br /> TYPEORPRINTON�f plan Check No: B 50071 sFeeS <br /> Applicat.Date: 11/17/95 SEPA <br /> Job Addreee: 1922 HOYT AVE <br /> Owner: SANDVICK GLEN/DIANE <br /> Owner Tenant: <br /> Proposed Use: GARAGE Phone <br /> Cesc. of Work: <br /> DETACHED POLE BLDG <br /> Applicant <br /> C)FFICE SET Phone <br /> JOB SET <br /> Describe Propos�d Work_ nppRovEp FOR PERMIT: DATE_/_�__ gy <br /> W <br /> H <br /> - <br /> PROJECT ADDRESS(if known) � <br /> Attach four(4)copies of plans for proposed worA-Draw to scale and note the following if applicable: m <br /> •Property Lines 'Oulline and diinensions of all existing and proppsed structures on ihe lot •Fxisting and proposed utilities O <br /> •Centedine of street •Indicate;Jorth •Show any pmposed grading changes •Shnw measurements <br /> DO NOT WRITE BELOW THIS LINE " " � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspc�ction shall be made 24 hours in advance- phone 259-8810. � <br /> 2.All work shali be performed in accordance with this permit and current City of Everett Design and O <br /> Construction Str>�dards and Specifications. <br /> 3. Cal! Location Ur Jerground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> V♦ <br /> O <br /> a <br /> 'URLI'p YtiQ�KB PEMn�i� <br /> ":07..RF.auJfi�q <br /> � <br /> Y�"- — <br /> rATE__J/ �.p � � <br /> ACKNOWLEDGEMENT OF CONDITIOPIS <br /> The undersigned owner/applicant hereby agrees to hold and save hannless <br /> the City of Everett from any and all claims for damages, rosts,ezpenses,or <br /> Approved lor Construction p��y causes of ac!ion that may anse because o(installation amd maintenance ol <br /> the improvement or other dqhFof-way use hcreto applied(or antl lutlher agrees <br /> to remove same upon notice fmm Ihe City and to mpince public property <br /> damagad ihereby. <br /> FINAL INSP[CTION Date <br /> Approved a,Constmcted <br /> SignaWm of Applicant Date <br /> WORK AUTHORIZED k3Y THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERAIIT IS ISSUE�AND THFREAFfER IS TO�E DILIGENTIY PURSUED TO <br /> COMPLEfION.l HIS PERMIT MAY 6E CANCELLED BY THE CIT`/UPON ANY STOPPAGE OF INORK ON THIS PROJECT OVER 90�AYS DURATION. <br />