Laserfiche WebLink
� PU�LIC U�JaR�KS PERMIT oate�� 10/2/96 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N _ <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 Building Permit a 53093 <br /> 7YPE OR PRINT ONLY Public Works Fee$ <br /> ROBE 7408 11PPFR RTnCF Rn FVFRFTT DA�.(L <br /> Owner Mailing Address Ciry Zip Phone <br /> BTLi_� RETALL.IC" 760 66F1 /SOS <br /> Applicant Mailing Atldress City Zip Phone <br /> Describe Proposed Work NEW GARAG W <br /> � <br /> � <br /> v/ <br /> PROJECTADDRESS(if known) �9_a8_11PPFR urncF un /y� <br /> Attach lour(4)coaies oi plans lor proposed work-Draw to;rale and note ihe'ollowing il applicable: �++ <br /> •Property Lines •Outline and dimensions of all exisling and proposed siructures on the lot •Existing and proposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 liours iii advance - phone 259-8810. O <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. Cail Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> No }�vblZ 1�kt �n1 ��{- �e�J� re.c� ` Dr;v��� � <br /> � <br /> �s���� �� «;�ti -t-I�-;-�y� �s�--� +�� i��,-�.�-� a <br /> �� <br /> ,�,�= <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicam hereby agrees to hold and save hartnless <br /> the City of Everett irom any antl all claims for damages,costs,expenses,or <br /> Approved tor Construction Date causes of action that may arise because of installation and maintenance of <br /> the impmvement or other right-oi-way use hereto applied for and lurther agrees <br /> to remove same upon nr,tice Imm Ihe City and to replace public properly <br /> damaged ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed <br /> — SignaWre of Applicant Date <br /> WORK AUTHORIZED BY 7HIS PEflM1T MUST BE STARTED WIT}iIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PEAMIT MAY BE CANC[LLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURA110N. <br />