Laserfiche WebLink
� <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />F�—'+cation For <br />PUBLIC Vb �RKS PERMIT <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if knownj <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Plan check No: B 56187 <br />Applicat.Date: OB/12/97 <br />Job Addreea: lOb6 W MUKILTEO BLVD <br />Owner: FRANKLIN FRANK <br />Tenant: <br />Propoaed Uee: CARPORT <br />Deec. of Work: <br />NEW CARPORT <br />Date _ <br />Public Works Permit k <br />Building Pertnit k <br />SEPA �'s Fee $ <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ gy <br />Phone <br />Phone <br />Attach four (q) �opies of plana for proposed work - Draw to scale and note the following if applicable: <br />•Pmperty Lines 'Outline and dimensions of all existing and proposed structures on the Iot •Existing and proposed utflities <br />•Centerline of street •Indicate North •Show any proposed gradin9 changes •Show measurements <br />- --� --....---_.... �.��..���.� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8870. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FF,EB NUM6ER 1-800-424-5555. <br />';,IPUC WppKS PFRM�• <br />aOr qFUU1RE� <br />s" ` �-`�'%�1 � _ <br />Approved for Construchon Date <br />FINAL INSPECTION Date <br />Approved as Conslructed <br />� <br />O <br />��/� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims tor damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />N'ORK AUTHORI2ED BY THIS PERMIT MUST BE S7AqTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND ThIEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />