Laserfiche WebLink
� A�olication For . . <br /> PUBLIC 11, �RKS PERMIT °a'° <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-9810 <br /> Building Permit p <br /> 'fYPE OR PRINT ONLY Pubnc Works Fee 5_ <br /> Plan Check No: C 51477 ggnp <br /> Owner Applicat.Date: 04/18/96 <br /> Job Addrs: 2415 JACKSON AVE Phone <br /> Owner: CRISLER MIKE <br /> Tenant: <br /> Proposed Use: SINGLE FAMILY RESIDENCE <br /> Appliwn[ Desc. of Work: Phone <br /> CONVERT GARAGE TO LIVING SP10E <br /> Describe Proposed Work_ oeFzce SET JOB SET � 1 � <br /> W <br /> APPRVD FOR PERMIT: DATE_/_/_ gy � <br /> � <br /> PROJECT ADDRESS (if known) � ' <br /> Attach four(4)coples of plans for proposed work-Draw to scale and note lhe following if applicable: � <br /> •Property Lines 'Oulline and dimensions of all existing and pmposed structures on ihe lot •�isting and proposed utilities O � <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BEL04V THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and o <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5�55. � <br /> V� <br /> �� ��-�,�{ /�� /t�v,��� a <br /> ���i���-� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and sava harmless <br /> the City of Everett 1rom any and all claims for damages,costs,expenses,or <br /> Approved for Constrvction Date causes of action that may arise because of installation and maintenance of <br /> ihe improvement or other right-of-way use hereto applied for and(uriher agrees <br /> to remove same upon notice from ihe City and to replace public propetly <br /> damaged ihereby. <br /> FINA�INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicanl Date <br /> WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />