Laserfiche WebLink
Date 1 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Plan Check No: B 41110 SEPA <br />Appllcat.Date: 06//28/93 <br />Job Address: 2406 HILLSIDE LANE <br />Owners KING BRANDON L <br />Owner Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />Doac. of Works <br />BEDROOM ADDN ON 2ND STORY <br />Applcant <br />OFFICE SET JOB SET <br />Desalbe Proposed Work _ APPROVED FOR PERMITt DATE_/_/_ BY <br />Project Address fit known) <br />NOYC Ww4 Paine <br />aNa DWL <br />TYMc work. F. , <br />TMW FN <br />Lnk aegis FN hq a _ <br />aaunePDvk B <br />Attach four (4) copies rl plans for proposed work - Draw to scale and rote the following AS applicable: <br />• Property Lines a Centerline of street <br />• Outline and dimensions of all existing and a Indicate North <br />proposed structures an the lot is Show any proposed grading changes <br />• Existing and proposed utilities is Show measurements <br />Phone <br />PERMIT CONDITIONS <br />I. All mile for Inspection shell be made 24 him in advance • phone 259-881 O. <br />2. All work shell be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specllimtions. <br />3. Call Location Underground Service 48 hisbefore you dig. TOLL FREE NUMBER 1-800, 424.5555. <br />PUBLIC WORKS PERMIT <br />NOT REQUIRED <br />RY s <br />DATE G s 9 <br />Approved for Construction Date <br />FIN:,.. INSPECTION Dale <br />Approved as Constructed <br />PUBLI3200C WORKSDEPARTMENT <br />0200 Ceder StrAN <br />Everatt WA g8201 <br />Phone: 25P8B10 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />z <br />O <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save :rarm- <br />less the City of Everett from any and all claims for damages. coal; <br />expenses. or muses of action that may arise because of installation <br />and maintenance of the Improvement or other right-of-way use hereto <br />applied for and further agrees to remove came upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />