Laserfiche WebLink
Date <br />. Application For <br />PUBLIC WORKS PERMIT <br />' Print or Type Only <br />.�a�e waw...�w . <br />!qa ��p' � — <br />PuOMc WaM� FM <br />TaN f» : <br />L�u MW FN PNO i <br />l�4nu Ow i <br />Plan Ch�ck lio: C 38843 SEPa <br />pwMr 11pp1icat.Dat�: 11[30/92 phon� <br />Job 7►ddr�s 2423 8Y6HL71ND AVR , <br />Owmr: PlLLS H6RB <br />'P�n�nts <br />' propowd 0/�= BINOLE fAMILY REBIDSNCS <br />App:ic�nt p��c. o! Mork: Phom <br />808f BEDROOM/B11TH 11DDN <br />�' �� P���d W� OFFIC6 SET JOB SET <br />11PPRVD !OR PERlIITs DATE_/,_/,_ BY <br />Propet Addnu (N known) <br />Affaeh four (4) Wpl�� W Dlan� Iw propot�d worlc - Draw to scale and not� 1M tullowinp u appliubls: <br />• P��rty linH �• GnbrNn� of atnet <br />• OudIM �nd dNnMtloM Of \U �XNtlnp and • In01c�N NorM <br />propo�ed �huctu�s on M� IW • 8how arry propoa�d pndMp cM�s <br />• Exi�tlnp anC propaed ut11RNs • Show ms�turom�nta <br />PEi1MR CONDIT10N8 <br />1. All qM fa Nwp�dlon �hNl b� m�d� 24 hn. l� �t.rnp - plion� iaPl�1 O. <br />2 AN wotk MMN b� PMa�d In �owrd�nw wMh M I� p�rmft �nd curnM CMy d Ewr�tt DeNpn �nd Conqeudlon <br />BhndMd� �nd 8p�dflatiar <br />3. GII LoaHon Und�rpround 8�rvic� Ie hra bNon you dip TOLL FIIEE NUM��111-800�4II4�d666. <br />PUStIC WpqKg pE� T <br />NOT qE0U1RED <br />BY ' <br />DATE �o L <br />� <br />�ApprovW for Conatruetbn Oete <br />i <br />i <br />FINAI INSPECTION Date <br />Apprwed at Comtructsd <br />PUBIIC WORK9 DEPARTMENT <br />3200 C�d�r 8ttNt <br />EwrNt WA 9E207 <br />PI�Ona: 26P0810 <br />ACKNOWLED6EMENT OF CONDITIONS <br />W <br />H <br />� <br />The und�nlpnetl owneqeppliCurt henby �qros� to h01d �nd uw h�m� <br />Isas the Clty of Everatt irom �ny �nd dl clNms fw d�m�qes, cwt4 <br />expenass, a caus�� ol aetlon th�t may �AN b�c�uw ol InqNl�tfon <br />and malntan�nc� of the improvem�nl or oth�r Mphbof-w�y uss h�roto <br />applied fa �nd furth�r aynes to r�movs wm� upon notice from th� <br />City �nd to roplacs Wblk property damaped M�nby. <br />Siqnaturo ol Appllc�nt DNe <br />WORK AUTHORIZED BY TMI3 PERMIT MUST BE STARTeD WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIOENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAOE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />