Laserfiche WebLink
� y <br /> Q�� . . <br /> YHCCN <br /> Hz� <br /> �C C� <br /> ��� Date 10-09-91 f� '..,q Puol¢Work�Permu• <br /> eiep.Deo�• 91/2�915 <br /> � �� qpplication For <br /> �Y� M PUBLIC WORKS PERMIT PuoTowFeeFee s <br /> r �y� Lna ADD�Fee PaiO S <br /> n V <br /> Inr n Bili�ClDU< S <br /> ;y� Print or Type Only <br /> C� <br /> F"� <br /> �� <br /> �y Tony Pace 1909 hlonroe Ave Everett 98203 335-6597 <br /> Owner Mailing Address Ciry Zip Phone <br /> ���y Everett Builders 11431 Old Sno Mon Rd Snohomish 98290 353-7161 James Wagner <br /> - � Applicant Mailing Address City Zip Phona <br /> - ' Describe Proposed Work Repair top floor after fire <br /> LL <br /> Project Address(il known) 1909 Monroe Ave � <br /> Attach four(4)copies of plans icr proposed work•Draw to scale and note the tollowing as applicable: s <br /> • Prcoerty Lines • Centedine of street <br /> • Outtine and dimensions of all exisling and • Intlicate North . <br /> proposed structures on ihe lot • Show any proposed grading changes . <br /> , • Existlng and proposed utilities • Show measurements � <br /> ' 1 DO NOT WRITE BELOW THIS LINE ` . <br /> 1 ' ` <br /> � PEFMIT CONDITIONS <br /> 1.All calls lor Inspection shall be made 24 hrs.in advance•Phone 259•8810. s <br /> '�' 2.All work shell be performed in accordance with this permit and current City ot Everett Design and Construction i <br /> 1 ' Stendards and Specilicationa <br /> � 3.Call Lxatlon Underground Service 48 hrs 6elore you dig.TOLL FREE NUMBER 1-800•424•5555. — <br /> L <br /> � , ,; ° � C <br /> � �, �,c Lc1�'.��=r�%'z•.<<,�`� �G�� ��'�U-G-t� �� <br /> �1 -"V- V. <br /> ��, �r . ��/ � <br /> � a <br /> � <br /> _� <br /> 1 AGKNOWLEDGEMENT OF CONDITIONS <br /> � <br /> The undersigned owner/applicant hereby agrees to hold and save arm <br /> � �� less the City ol Everett Irom any and all claims lor damages, cost: <br /> expenses, or causes ol action that may arise because ot installatio� <br /> and maintenance of ihe improvement or olher right•ol�way use heret� <br /> applied for and turther agrees to remove same upon notice from ih� � <br /> hpproved for Construction Date Cily and to replace public property damaged therehy. <br /> FINAL INSPECTION Date Gate . <br /> Approved as Constructed Signature of Applicant <br /> � WORK AUTHORI2ED BY THIS PE(iM1T MUST BE STARTED WITHI� <br /> PUBLICWORKSOEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TC <br /> 'r� 3200CederSireet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BL <br /> Everett,WA 98201 CANCELLED BY THE C�TY UPON ANY STOPPAGE OF WORK ON THIF <br /> Phone:259•8870 PROJECT OVER 90 DnYS DURATION. <br />