Laserfiche WebLink
voLc Wads Ps�mil• <br /> Date eieo o•u�.• <br /> qppllcation For <br /> PUBLlC WORKS PERMIT �p1KWp1M�Fea s <br /> Tot�l Fae <br /> Leaa App�Faa P�iC s <br /> B�lann Dw s <br /> Print or Type Only <br /> Plan Check No: 8 36340 SEPA phone <br /> Owner Appllcat.Date: 04/13/92 • <br /> Job Ad�neL. DARNELLCROY PL <br /> Tenant: <br /> Applicent Propoeed Uee: SINGLE FAMILY RESIDENCE Phone <br /> Deec. of Work: <br /> 480SP ADDSTION <br /> Describe Proposed Work _ JOB SET <br /> OFFICE SET �— <br /> APPAOVED FOR PERMIT: DATE_/___/_ BY <br /> W <br /> - - I- <br /> Prulect Address(if known) � <br /> Atlach four(4)coPies ol plans for proposed work• Draw to scale end note thr.tollowing as epp��cabte: � <br /> • Property Linea • Centerline ot street <br /> • Indicete North <br /> • Outline end dimensions ol all exiating and � Show a�y proposed greding changea <br /> proposed structures on the lot � ghow measurements M <br /> • Existing and proposed utllities W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1,All calls far Inspection ahall be made 24 hra In advance•phane 259�8870. <br /> 2.All work ahell be performed In accordence wilh lhis permit end current City ot Everett Deaign and Conalruction <br /> Stendarde end Specificallona. � <br /> 3.Call Locstlon Underpround Service 48 hrs.before you dig.TOLL FREE NUMBEH 1-800-424'S55 . <br /> , � � /i � <br /> � ' ' ��r- - , . .,. '-.7'" /_ -c�,c..A,f ' <br /> ��/�Gc-t, G 2�%= . `1.f.:.� ..f 4 <br /> �.�h J � <br /> ,r—,-["`�-. <br /> � <br /> �_ / / . . !fiC '7i� �.� eL � / .' -� r- �t�� O <br /> L c-� � c�I�� �_ �', <br /> � <br /> % ,.t fr�c <br /> ,�-��..c4c �G�.c' S.0 c,��, � ����t .1 ��..c _,�./ ., . , . _ - . � <br /> ��� <br /> �7z.� .� ` � �id�l`�. _ . <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/apPlicant herehy agrees lo hold and save harm- <br /> less the City of Everett Irom any and all claims for damegea costs, <br /> expenses. or causes of action that may arise because of installetion <br /> and maintenance of the improvement or other right-ot-way use hereto <br /> applied for and fuAher agrees to remove same upon notice irom the . <br /> Approved lor Consttuction <br /> Date City and to replace public property damaqed lhereby. <br /> FINAL INSPECTION Date Date <br /> Signature ol ApPlicant <br /> Approved es Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CederStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 I pROJECT OVER 90 DA S DURAT ON.STOPPAGE OF WORK ON TtiiS <br /> Phone:259•8810 <br />