Laserfiche WebLink
ation For <br />PUBLIC WLRKS PERMIT <br />TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />Date ( <br />Public Works Permit 0 <br />Building Permit fi <br />Public Works Fee $ _ <br />Plan Check No: B 56762 SEPA <br />Applicat.Date: 10 13/97 <br />Job Addrs: 2005 MONROE ST <br />Owner: DAGGETT RONALD <br />Tenant: <br />Proposed Use: GARAGE <br />Desc. of Work: <br />REPAIR OF GARAGE FROM SNOW DAMAGE <br />OFFICE SET JOB SET_ <br />APPRVD FOR PEP.MIT: DATE_/_/_ BY <br />Attach four (4) spies of plans for proposed work - Draw to scale and note the following if applicable: <br />Phone <br />Phone <br />'Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North 'Show any proposed grading changes 'Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <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 FREE NUMBER 1-800-424-5555. <br />'1!RLIC WORKS 110ERM1T <br />NOTUIRE1 <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />Iff <br />() <br />ca <br />0 <br />z <br />0 <br />V♦ <br />0 <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 for 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 />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />