Laserfiche WebLink
0 <br /> ( ppliwiion For <br /> � RU�LSC 1n/ORKS PEF�IVeIT °a`� _ <br /> PUBLIC WORK5 DEPARTMENT Publlc Works('ermit# I <br /> 3200 Cedar Street <br /> Everett,WA 96201 259-8010 Building Pertnit# <br /> TYPE OR PRINT ONLY Puhlir.Works Fee$ <br /> Plan Check No: C 61459 SEPA <br /> Applicat.[late: O1/25/99 <br /> Sob Address: 707 41ST PL <br /> Owner Owner: CALABRESE FRANK Phone <br /> Tenant: <br /> Propoaed Use: SIP7GLE FAMILY RESIDENCE <br /> Desc. of Work: <br /> Applicant ADD FAMILY/TV ROOM phone <br /> Descrihe Prop�sed Work_ oFFlce ssT Jos ssT <br /> � APPROVED FOR PEAMIT: D11TE /_/_ BY � <br /> — � <br /> �� <br /> � <br /> PROJECT ADDRESS (if known) /� <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: . ii+ <br /> •Property L(nes •Cutline and dirnensions of all existing and proposed structures on the Iot 'Fxisting and proposed utilitles � <br /> •Centerline of street •Indicate Norh •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PENMIT GONDITIONS: � <br /> 1. Ali calls for inspection shall be ma�e 24 hours in advance- phone 259-8810. � <br /> 2. AII worl:shall be performed in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V♦ <br /> �A <br /> 1.�.. <br /> l'JS1LtC 1'�/O�^I<^ PENF�I�� <br /> �iOT �j,FGL'IRE� <br /> �Y--7—n-�-Q _ <br /> RA?E.----•-l���l_ __. <br /> � <br /> ACKNOWLEDGEMENT OF CONDf110NS <br /> � The undersigned owner/appticant hereby agrces to hold and save harmless <br /> the City of Everett from 2ny and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of <br /> Approved for Construction Date tho improvement or o;her right-of-way use herero applied tor and tudher agrees <br /> to removgsame upon notice from the City and to replace public property <br /> damaged lhereby. <br /> FINAL INSPECTIO"� Date <br /> Approved as Consiruc:e� <br /> Siynature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST 6E STARTEO WITHIN�100 DAYS OF DATE PERMff IS ISSUEU ANO THEREAFiER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf70N.THIS PERMIT MAY BE CANCELLED 6Y THE CIT'UPON ANY STOPPAGE OF WORK ON THIS PflOJECT OVER 90 DAYS DURA'ION. <br />