Laserfiche WebLink
� _ <br /> �� � <br /> ��� �. ,5 .35R. / <br /> t"yy Date 9/21/92 ! ,��L� PuOhcWoihaPmmil+ 9a <br /> K� � � Applica�ion For � Biae�oeot• 38082 <br /> �H� PUBLIC WORKS PERMIT PuULCWodsFce � <br /> Tolal Fea s I <br /> y�/J lees PoO�Fea PaiO $ I <br /> z . , . Bainncc Duc $ �Q OO I <br /> oQy � Print or Type Only OD.a-3�'2yoi/83 / � <br /> ���C Leona Dawson 2230 Plonroe Ave Everett 98203 353-3863 <br /> x H 3 Owner ' Alailing Adtlress City Zip Phone , <br /> 9HCq ��. ' ., �, <br /> i <br /> r y y Dan Mann 353-7161 <br /> H Applicant Mailing Address City Zip Phone , <br /> 8dy <br />� �� � <br /> y Describe Proposed Work Attached_garaee and monthe�in—law 2pa m nt <br />'� H O bi <br />� <br />' W <br />� Project Address(il knowN 2230 Monroe Ave � <br /> I <br /> Attach lour(4)copies of plans lor proposed work- Draw to scale and nota the lollowing as appliwble: � <br /> • Property Lines • Centedine ol sVeet ♦A <br /> • Outline and dimensions ol all existing and • Indicate North V� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and pioposed utilities • Show measurements � <br /> DO NOT�NRITE BELOW TfiIS LINE O <br /> PERMITCONDITIONS <br /> 1.All calls br Inspection shall be mede 24 hrs.in advance-phone 259•8810. � <br /> '�t 2.All work shall be peAormed in accordance with:his permit and curreM City ol Everett Design and Construclion <br /> ' ' Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � <br /> I <br /> It �• ��-G�/ �Xi.f-ta...�. S�.r� S¢�c.•Civ �.oL �CJ�o �ctc�<'.,y .Co [�.ne�c.,L Q I <br /> ��I �LR-Kt�[o0+'� �n?/U L� /YLCC.G� UPi LG��Y)�� �� )''LCC� � <br /> O ��_1 �, u,.���.,.,, a�li,.n6N,� ��C�. I <br /> ��I �Nf71Ai INSPECTION � ' <br /> '� KIRK BROOKS O � <br /> ��I DATE � � ^ � � <br /> �� � <br /> � <br /> '_' ,ei�e�Z uL ACKNOWLEDGEMENTOFCONDITIONS <br /> f` <br /> The unders�ned owner/Tpplicant hmeby agrees to hold and save harm� <br /> '_O less ihe ity of Evmelt Irom any and all claims tor damages, cosls. <br /> expense or cau� of action Ihat may arise because ol installation <br /> ' . � /, Q a 9� and-m in nance o ihe improvement or other righbol�way use hereto <br /> ���'��' � 'applied nd lurt er agrees to remove same upon notice irom lhe <br /> _ Approved for Iructio� ��^e i City and to e �ace public properry damaged thereby. <br /> � <br /> FINAL NS ECTION ' � � Date� � � �'� I�'�(���� <br /> Approved as Cons�ructed Sig re ol applicanl Dale <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY IS PERMIT MUST BE STARTED WITHIN <br /> 180 DAVS OF DATE P[RMIT IS ISSUED AND THEREAFTER IS TO <br /> ,�r� 3200CedarSireel B[ DILIGENTLY PURSUED 70 COMPLETION.THIS PERMIT MAY BE . <br /> Everett.WA98201 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />