Laserfiche WebLink
Date _` ` v�e�,�woM.P.�mu. <br /> Application For eieo.oeo�. <br /> PUBLIC WORKS PERMIT PuelrcWon�fea <br /> To�.�F.. s <br /> �as.�oo�re.r.m S <br /> Print or T e Onl B�4nc�Dua s <br /> YP Y Plan Check No: B 46614 SEPA — <br /> Appllcat.Date: O1/24/95 <br /> Job Addrees: 4935 SEAVIEW WAY <br /> Owner: HARAAWAY CHARLEY/GAIL <br /> Tenant: <br /> Owner Proposed Use: SINGLE FAMILY RESIDENCE <br /> Deac. of Work: P Phone � <br /> ADDITION Or 'c�CRnOM <br /> Applicant OFFICE SET JOB SET <br /> P Phone <br /> APPROVED FOR PERMIT: DATE_/_/_ HY <br /> Descrtbe Proposed Work _ <br /> W <br /> Project Address(if known) � <br /> Attach four(4)copies ol plans for proposed work•Oraw to scale and note the lollowing as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of a�t existing and • I�dicate North <br /> proposed structures on the lot • Show any proposed greding changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be mede 24 hrs.in advance•phone 259•8810. � <br /> 2.All work ahall be performed in accordence with this permit and curcent Ciry of Everett Design and Constructlon <br /> Standards aed Specificatlona <br /> 3.Call Locatian Underground Service 48 hrs.before you d!g.TOLL FRE�NUMBER 1-800�424-5555. � <br /> O <br /> PUBLIC WORKS P�pMIT � <br /> NOf REOUIRE� � <br /> �Y <br /> �ATE Z- �_ O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City ot Everett irom any and all claims tor damages, costs, <br /> � ezpenses, or causes ot action that may arise because of installation <br /> and maintenance �f �he improveme��t or olher right-of-wa1' use here�o <br /> appli=d for and furiher agrees to remove same upon notice from the <br /> Approved for Construction Dale City and to replace public property damaged ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature ol Applicant Date <br /> �ArI� PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> Everet4�'�'49gz01 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259-8870 CANCELLED BYTHE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />