Laserfiche WebLink
Date ��11/83 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />William Ayer <br />PublicWorksPa�mits �� �� � <br />eiaeooc�.. $3/12 85 <br />Publlc Works Pee <br />Tolel Fee S!� O•� C' <br />L¢55 AppL f¢P Ppitl V ^� ^ <br />Balance Due $ �`"� • V � <br />3530 Oakes Everett 98201 252-4452 <br />Owner Mailing Address City Zip Phone <br />Bob Ayer 6525 Beverly Blvd. Everett 98203 353-6427 <br />Applicant Mailing Address City Zip Phone <br />Construct Garage with alley entrance <br />Describe Proposed Work <br />Project Address (if known) <br />30 Oakes <br />Attach lour (4) copies of plans lor proposed work - Draw to scale and note the tollowing as applicable: <br />• Property Lines <br />• Outline antl dimensions ol all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />Approved as <br />everett <br />� <br />PERMIT CONDITIONS <br />• Centerline of siree� <br />• Indicate Norih <br />• Show any proposed grading changrs <br />• Show measurements <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•881 5. <br />2. All work shall be performed in accordance with this permit and current Ciry ol Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMDER 1-$00•424-5555. <br />� T-� ctPP�ica.� Arsir�� � w.��r, d�.,,e,,.�a`� .�ro., <br />� w..�t� hEw �a�c�-�.� V...cl� c�... � C�dc� <br />PC��+.� w� l 1 i0E rP� a.�v+cr.X . <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Eve�ett, WA 98201 <br />Phone:259-8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />O <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the Ciry ol Everett Irom any and all claims lor damages, cosls, <br />expenses, oi causes ol action lhat may arise because of installation <br />7/� and maintenance ol the improvement or other right-obway use hereto <br />Date applied lor and lurther agrees to remove same upo� notice Irom the <br />City and to replace public proper(y damaged thereby. <br />�-is�� - ; . i _ ) <br />Date � � . . - - •�� <br />Sign ure of Applicant ' Date <br />WQ K AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />8E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOFK ON THIS <br />PROJECT OVER 90 DAl'S DURATION. <br />z <br />0 <br />-i <br />� <br />m <br />.. .. <br />-i -n <br />.. -� <br />�n x <br />m <br />co <br />m o <br />-i c <br />C� 3 <br />m <br />�z <br />x -a <br />m <br />.. <br />.o z <br />c <br />n -a <br />r x <br />.. .. <br />---I tn <br />K <br />'rl <br />oz <br />T Y <br />-i m <br />x <br />m �-+ <br />� <br />o r <br />c� m <br />� N <br />� <br />z c� <br />�r <br />m <br />a <br />� <br />� <br />i <br />a <br />z <br />� <br />s <br />� <br />z <br />0 <br />� <br />� <br />m <br />