Laserfiche WebLink
�� <br />TYPE OR PRINT ONLY <br />AGP��catlon For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Jeff Shank 415 Lakeview Rd I�K6 <br />Owner <br />Owner <br />Applicant <br />Describe Pr�posed Work <br />Mailing Address <br />new manufactured home <br />PROJECT ADDRESS (if knowr�) <br />oa�z__ _ 9-19-96 _ _ <br />Pub6c V!orks Permit #__l W f�LW . <br />Buildinq Permit k_._SZBZZ <br />Public Works Fee 5 _ �d _ ._—_— <br />�od WA 98037 787-6935 <br />City Zip Phone <br />City � Zip Phone <br />��1 <br />� ��a <br />�. l�= � � <br />� ,i�. '� � <br />,; 1 , <br />� �;___ <br />���� i <br />— �� �'��• <br />U� F,. <br />> �����;v��CRr�:-_:•••. <br />Attach four (4) copies of pl�ns for proposed work - Draw to scale and note the following if applica6le: ' <br />•Property Lines •Catlire antl dimensions of aIl ezisting and proposed siruct�res on the bt •Existing and proposed utilities <br />•Centerline o` street •Indicate North •Show any proposed grading changcs •Show measurements <br />BELOW THIS LINE <br />FERP:IIT CONDITIONS: <br />1. All calls for inspection shall be made 2a hours in advunce - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design an�l <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />'�"• ��c;'�r c'Cir1�c��� i��,� �, s��r c��^�r�uPd �/�,� G�-fecr i���j��. <br />'�j, VW✓!�j/ -� GXiz'��1C� Z!! F�y%, �7�'iy1 t�XI.S�"/N�j �fc�/� f6 <br />✓ <br />���tiv huvs�. <br />C('. 1�1�� V�% �C✓1lt['C'f"icVIS `�G �V�. V/1-i"i� ��� i1�C��'(l�[,'w��Li <br />� �+ � ���f ��1,? ��! � C,i2, <br />i ,��r�-f't�cc� c� ���.{,,,��c-fr��1 �v��li <br />1 <br />7 / / <br />�/`a�'``'���`��-' --- � _��.1G <br />Ap o�r o ConstiucUon D�t <br />�1�5 UCr���iCc�' C`C�'�nlc�c� �n,l�i' <br />Cd�Ifr�Cfc'✓ <br />� <br />O <br />� <br />� <br />� <br />a <br />.�KN01'JL[CGt,'SNT VF CONDITIONS <br />The untlersigned o �ner �appEcan� heret� agrees to hold and save h, rmlcss <br />the City of Everett from any and all ctaims fa damages. costs, expe�ses or <br />causcs o1 action that may arise because ot installalion and maintenance of <br />the improvement or other right-ol-w�y use hereto applied for and lurther agreas <br />to remove same upon notice from the City and to replace public proper� <br />damaged ihereby. <br />RP14L INSPECTION D; :r I . <br />Approvad [35 Gonstrucled � / <br />( �' ,l1.c, �l—��—%�.. <br />i Si tu _ a pplic nt , —�L ale <br />\;'ORK dU i HORIZED �Y THIS FEH.'."IT A1U5T 6E STAR-_.�. IVITMIN 15C� D�VS UF ��1TE PEFiA11T IS ISSU[D AND THEREAFicN IS TO BE OIUGENILY F JRSUED TO <br />C�Ch1PLLT10N. THIS P[RIAIT PdAV gE CANCELLED 8Y 1HC CITV UPON ANY S10PPAGE OF 11'ORK ON THIS PRCJECT OVEH PJ DAVS DURATION. <br />