Laserfiche WebLink
� <br />Date I PUC!:c Worha Par¢it • <br />Application Fof <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />Project Address (if known) <br />Plan Check No: B 42798 <br />Applicat.Date: 11/24/93 <br />Job Addreee: 2126 STATE ST <br />Owner: OBERSST JOHN <br />Tenant: <br />Proposed Use: GARAGE <br />Deec, of Work: <br />DETACHED GARAGE <br />SEPA <br />OFFICE SET JOB SET <br />APPROVED FOR PERMIT: DATE_/_/_ BY <br />eiea. oeo�. • — <br />PuEGc Worka Fee <br />TolelFee s <br />laa3 Appl Fee PaiE � <br />Balance Due S _ <br />Phone <br />� Phone <br />Altach four (4) copieS of plans for proposed work - Draw to scale and note the tollowing as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be peAormed in accordance with this permit and current City ot Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TULL FREE NUMBER 1•800•424-5555. <br />PUBLIC WORKS PERMIT <br />NOT REQUIRED <br />BY� <br />�ATE ' "7 �__ <br />Approved lor Construction Dale <br />FINAI INSPECTION Date <br />Approved as Constructed <br />�A��PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreel <br />Everett. WA 98201 <br />Phone:259�8810 <br />ACKNOWLEDGEMENT OF Ct�NDITIONS <br />W <br />H <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and savo harm- <br />less the Cily ol Everett irom any and all claims for tlamages, cosis, <br />expen;es, or causes of action ;hat may arise because of installation <br />and mainte��ance ol Ihe improvement or other riqht-of-way use hereto <br />applied tor and lurther agrees lo remove same upon nolice from the <br />City and to replace public property damaged Ihereby. <br />Signature of Applicanl Oate <br />WORK AUTIiUR12ED BY THIS PERMIT MUST BE STARTED WITHIV <br />180 DAYS GF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLET�ON. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OV[R 90 DAYS DURATION. <br />