Laserfiche WebLink
Date 9-15-93 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Allan Whi[e 717 Rucker Ave <br />Everett WA 98201 <br />PUEI¢ Wo�ks �ermil • <br />Biap.Dept � � <br />Public Workc Fea s <br />Total Fee <br />Lese RpO�� Fee PaiO Z <br />BatanceDue S <br />Work 258-9222 <br />Owner <br />qpplicant <br />Mailing Address City Zip Phone <br />Describe Proposed Work ara e roof sidin atio <br />Project Address (if known) <br />Attach tour (4) copies ol plans tor proposed work - Draw to scale and note ihe lollowing as applicable: <br />• Property Lines • Centerline of sireet <br />• Ou�line and dimensions of all existing and • Indicate Norih <br />proposed siructures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measuremenis <br />PERMIT CONDITIONS <br />t. All cells for inspection shell be mede 24 hrs. in advance • phone 259•8810. <br />2. All work shall be peAormed in accordence with ihis permit and current City of Everetl Design end Conatruction <br />Standerds end Specitications. � <br />3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMRFp 7-pM-�^w r�.� <br />PUBIIC WORKS PERMIT <br />NOT REOUIREO <br />BY ' � <br />DATE. '� �'/ 93 <br />/ <br />Approved for Constructlon <br />FINAL INSPECTION <br />Approved as Conslructed <br />�PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone�259-8810 <br />Date <br />Date <br />\ <br />? �� P� <br />���,c <br />� <br />�� (��(������� , <br />�NITIAL �NSP�f:�s:=�. <br />KIRK BROOKS <br />DATE ��� ��s — <br />� <br />O <br />lrm- <br />Thc undersig _.75�5, <br />less the Gl� ' ' <br />expenscs. oi ..auees oi acuon that may arise because o1 installation <br />anu maintenance ot the improvemenl or other right•ol-way use hereto <br />applied tor and further agrees to remove same upon notice Irom the <br />Cily and to replace puUlic property damaged thereby. <br />Signature ol Applicant --�" <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />780 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />