Laserfiche WebLink
� ww��Fa Co%7 <br /> PUBLIC WORKS PERMIT °a,° _ � <br /> PUBLIC WORKS DEPARTMENT Public Wake Pxmk� R� �-1 <br /> 3200 Cedar Street wAJ <br /> Everetl.WA 98207 259•8� � 4 � S'�c�r - <br /> Bullding Permit• r— � <br /> TYPEORPRINTCv�Y ;� POStING ---- pub�icW«ksFeet ZO <br /> �rh�rr� U r►�cre,ux l o�? R���r A►� <br /> Owner Mailing Address Ciry Zip plwna <br /> ApPiiwnt Meiling Adtlress Ciy Zip Phone <br /> Describe Proposed Work C��21�IQQ � <br /> 07-1h97 3:3?PM ■ <br /> BUILDII�6 145.00 r <br /> PROJECTADDRESS(if known) / � 4'� �/� <br /> Aflach tour(4)copies of plans for proposed work-Draw to acale and rwte the following H epplcable: TOT/Y_ 176.50 W <br /> 'Property LJnes �'Outline and dlmensions of all existing and propoaed siructures on the bt 'Existing end propasep ujq_Rby_ CHEK � <br /> `Centerline of street •Indicate North 5how any proposed grading chanpes `�how measurements A aM 955 � <br /> DO NOT WRITE BEL.OW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be pertortned in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> .Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-b666. � <br /> �, �fi7v� S�c�e SEwGI'S0-�i� i� i 5 n0� undEJ' r1GW�2t�, Or Yi <br /> � 9 r�+dc P t� rta 4t,,r�� I w►ter� v�c�e+- �cw C��e �U I►1 fG�. �1G O <br /> r �i <br /> �, C„ a <br /> 5� Ce n�. I�o��� ('u✓to�F fn s,c�esec.�er, <br /> (a, ( Sf'G�I ' �GkWA�'G!' fAIVG p�l 5��:..IP,(', <br /> .�.� p�n p� V�� IS WorK WQa �QNQ � <br /> \S lA✓L�I ✓1 JW�n � W`� �� 11� C� <br /> �.v�P.✓ rvl��'00 h �C'r w.�� VL/4' S � S S Lt P cQ <br /> 0� G�n��s �-o� a�, e.�- d-�ese re u� .�ewL�P,wI � —�$ 0 hd �e <br /> /1�1 �� �S' nc,�e�€DL�� c�'oHanoNs a a�o <br /> � 3 -I I The°nderaqnad ovn„deppNc�,hereby.prees�o IroW anA,ave h.mb., <br /> the CRy W Everatt fian any and ell cldms for dempes,coah,eKpensea,a <br /> Ap oved for C truction Data ��a ectbn thet may arlse t»ceuse o}InsfeNedpn end�ngln�enM�ce o{ <br /> the hnArovament or other ripM-of-way ws hsMo appNsd forand fietlis apsea <br /> to rarave smne nmkv fiom tM Clly a�M ro redace WbM�WoP�Y <br /> /]- 7c1 -'3 ] <br /> FINAL INSPECTION Date <br /> A�Jpo�a�o�d � <br /> �e App� <br /> WORK AUTHORIZED BY 7HI5 PERMR MUST BE STARTED WIIHIN 180 DAVS OF DATE PERMIT IS ISSUED AND TMEqEAF1Ep IS TO BE D0.JOEHRY PUfISUED TO <br /> CAMPLEf10N.7HIS PERMIT MAY BE CANCELLED BY THE CI7V UPON ANV STOPPA(iE OF WORK ON THIS PROJECT OVER g0 pAy$pURA7pN, <br />