Laserfiche WebLink
i <br /> r,,:,�rcm��.sr„�mn. - -_' <br /> DBte 10 7 91 nie,�o�m • 91L27895 _. <br /> qpplicatlon For <br /> ORKS PERNiIT P+���cWoexaFea 5 <br /> RUBLIC W '°'°„°° <br /> Lmf ApPI fee Pn�G 5 <br /> �.:� �� Oaianu�Due 5 <br /> p �� Print or Type Only <br /> �y5 y 397-6535 <br /> ri 9 3 Tim & Fran Harrison 3624 Upland Ave EVeret C,`Y 98203 ZIP pnone <br /> �Z� Mai��ng Atldrass <br /> Owner <br /> H :u <br /> "�d H'��7 t p^ ^"�?? n�=r.^i i� � ZiP Phone <br /> y H . N r'zon_ro Midin9 Adtlress Ci'Y <br /> y r ppplicant <br /> x� <br /> O y� Descrihe Proposed Work Car ort Addition at R <br /> � � g <br /> �` " W <br /> zay� _ <br /> r H y 3624 Upland Ave. — — � <br /> � <br /> �� N Ro�ecl Address lif known) �o <br /> ��,�" r Ntach tour ld)copies o�plans for p�oposed wo�k-���"+�o scale and note�CCo�1eW'ne ol street ahle- � <br /> � • Property Lines o Intl�cate Norih <br /> y HO� • Outline and dimensio�s ol all rxistin9 and � Show any p�oposed 9�.dmg chan9es <br /> proposed stmclures on the lot � Show measuremenls M <br /> �Fp� • [xisting and pwPosed utilitics �y� <br /> I���� DO NO7 WRITE BELOW THIS LINE O <br /> � PERMIT CONDITIONS � <br /> 1.All calls lor inspeclion shall be made 24 hrs.in advance-Phone 259•8810. <br /> ' `_� 2.All work shall be pedormed in accordance with this penni�and current Cily ot Everetl Desi9n and Construr,tion <br /> `= Slandards and Specdications. � <br /> 3.Gall Location Underground Service 48 hrs.betora you dig.TOLI FREE NUMBER 1•800•424•555 . <br /> O'� • � , i� ^l . ��^f j��%.i" �.�'G�c< < ,.rel/� <br /> � ���� ��_: /C� .'� , � _ �' f • -' . . <br /> t __ � h <br /> ; <br /> � � <br /> �_ �- <br /> i �_� G. <br /> � � p;FNOVJLGDGE�7ENT 01=CONDITIONS <br /> �'� The unCeisi9ned ov+nedapplic�i��hereby.9nte5 io hold and sdv0 h.nn�' <br /> Ic;s Ihe Gdy of Everelt �rom any antl all claims lor dama9es. �os�a <br /> --- exPenses. or causes ol action Ihal may .rise becabse of installatioi� <br /> and maintena•�ce of ihe imp�ovemeN or olher nght�ol�way use hereto <br /> �pplied lor a•�d �urther a9rees to remove same upon nolice Irom �he <br /> qppioved for Constmction <br /> Date Cily and lo r•Place puhiic properly damageA Ihereby. <br /> FIN1L INSPECTION ���� �� Datc <br /> Signatu�e of Applicant <br /> Approved asConslructed yyORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERM1IIT IS ISSUED AND THEREAFTEI7 IS Tv <br /> � 3200 Cetlar Sireet 6E DI'_IGENTLY PUNSUED TO COMPLETION.THIS PERMIT tAAV B[ <br /> Evcrelt.N'%.982%� CANCfLLLD BY 7HE CITV UPON ANV STOPPAGE OF WORK ON iHIS <br /> r�no�,�.:�es�o[��o <br /> aro.i�cr oveta�o o�>vs ouF�nnoN- <br />