Laserfiche WebLink
� PUBLIC 1h►ORKS PERMIT °�'� <br /> FUBLIC WORKS DEPAHTMENT Publb Works Permk M <br /> 3200 Cednr$1fE61 <br /> Everett,WA 98201 25�BB10 Building Permk N <br /> TYPE OR PRINT ONLY p�a�yyo��_ <br /> Owner Meilli Plan Check Nos C 49899 ggp� �b <br /> Appllcat.Dat�s 10/30/95 <br /> Job Addre��: lO1B b1UCEs 71VE <br /> Owner: BRADfiN STBPHSN i NICFIELS <br /> �� ��� Proposed�Uea: SINGLE F1IMILY RBSIDENCB �� <br /> Da�c. of Work: <br /> Describe Proposed Work DORMER ADDITION — BSDROON/B11TN � <br /> OFFICS SST JOB S8T � <br /> APPROVED FOR PBRMIT: DATS_/_�_ gy � <br /> _ � <br /> PROJECT ADDRESS pf known) � <br /> Attach four(4)eo{;!es of plans for p�oposed wqk-Draw to scale aiM rwte the folbwing H applkabb: <br /> `Property Lines � ��Outline and dimensions of all exlsting and proposed structurea on tha bt 'Existing and propoaed utllities <br /> `Centerline of strest 'Indkate North 'Show enY pro�osed 9rading changes 'Sfww meeyurements � O <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: �� � <br /> 1.All calls for fnspectfon shall be made 24 hours in adv�ce-phone 259-8810. <br /> 2.All work shall be performed in accordance with thfs permk and current City of Everett Design and O <br /> Construction Standards and Specifications. ' <br /> 3. Call Location Underground Servire 48 hrs. before you dig. TOLL FREE NUMBER 1-8'00-424-6565. � <br /> � <br /> , VJ <br /> � O <br /> -�.�._ a <br /> �'iIpLIC WORKlS PErpi, _ <br /> AOT EOUIREn - <br /> ; Y"""rt-- - - • <br /> ±AT� iiz y> <br /> . _ �"__._._. <br /> ACKNOWLEDOEMENT OF CONDITIONS <br /> The u�dersigned owneNapplbant hereby agieea to hold end eave hartnNss <br /> the Ciy of Everett from any arM all cleims for damepes,cosb,eupenses,or <br /> Approved tor Construction Date ���°���^that may arise bacause ot installaUon and maintenence of <br /> the improvertient a oMx rightof-way use herato ap�Yed forand fixthx aprees <br /> to remove sama upon notice from 1M CRy and to replece pudic propeAy <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Dete <br /> WORK AUTHORIZED BY THIS PERMIT MUSi BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THERFAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLE�ION.THIS PERMIT MAY BE CANCELLE�BY THe CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS WRATION. <br /> ,J .nwJ+✓.� <br />