Laserfiche WebLink
Date <br />Applicalion For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Proposed Work <br />Pfoject Address �i� known` <br />Plan Check No: B 45185 SEPA <br />Applicat.Date: 08/OB/94 <br />Tob Addre: 625 WEjfMORE AVE <br />Owner: BLEISTEINER AUGUST <br />Tenont: <br />Propoaed U3e: CARPORT <br />Desc. of W��k: <br />ENCLOSED PART OF EXISTING CARPORT <br />OFFICE SET JOB SET <br />APPAVD FOR PERMIT: DATE_/_/_ BY <br />vuoi¢ �varks Perm�t • __ <br />B�Ug Dept • <br />Vub�K \Yo•x5 Fee <br />Tolqlce0 S �- <br />L¢ss>Ou� Foe Pam S _ <br />Baianc+ Cuc $ _ <br />!�,^. Phone <br />?io Phone <br />Attach four �4) eop�es of plans fur t�roPused wo�K - Drav: to s.:,ii�� a:�a nete the :oncwing as apUhcahie: <br />• Property Lines <br />• Outline antl dimensi0ns ol all ex�sting and <br />proposed slructures on fhe lo! <br />• Existina and proposed utilitics <br />• Cen(erline ot StreNl <br />• Intlicale Norih <br />• Show any r,roaosed 9ratling chanaes <br />• Show mea5urements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2. Ail work shall be pertormed in accordance with this permit and current Cily of Everett Design and Construction <br />^tandards and Specifica�ions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />/^9 �S p �-,� ��� � <br />�z W'� <br />�u �U IYV�� <br />� ' 'l <br />g-q � <br />__ —1 <br />i <br />Approved 1or Gonstruction �''�`� <br />FINAL INSPECTION Date <br />Approved as Constructed <br />��PUBLIC WOFiKS DEPARTMENT <br />3200 Cedar Street <br />Everetl. WA 98201 <br />Phonr,: 259�8810 <br />ACKNOWLEDG[�,1ENT OF CONDITIONS <br />� <br />O <br />� <br />� <br />O <br />a <br />The unCersiqned owner/applic2nt hereby a9ree5 to hold and sace harm� <br />less the Gity oi Everetl irom any and all claims tor damages. wsts. <br />exUenses. or causes ol action Ihat may aris^ because ot msiallation <br />anA mamtenance o! Ihe �mproveme�t or olher righhol-v:ay use hereto <br />appi�ed for and further a9rees to remove same upon notice Irom the <br />G:y �ii�•N tn replaca pub6c Orooery damaged Ihereby. <br />Si4nalure o� APPhCan! "�" <br />IVOFY. AUiHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �+1AV BE <br />CANCELLED BY iHE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />