Laserfiche WebLink
! <br />Date 6-21-93 TO POSTIN <br />Application Fnr <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />PuMie Works Germil ♦ `� 8 / <br />eiav oon�. • 41019 <br />PuEbc Works Fee <br />Tatal Fee s <br />Less Poot Fee Paid S <br />BalenceDue S a�p0 <br />Todd Hooper 20017 12th Ave NE Seattle WA 98155 546-2491 <br />Owner Mailing Address � � City Zip Phone <br />Owner <br />qpplicant Mailing Address City Zip Phone <br />Describe Proposed Work new hOuee <br />Prolect Address (if known) <br />3111 52nd P1 SW <br />Attach four (4) coples of plans for proposed work - Draw to scale and note the following as applicable: <br />• PropertY ���es • Centerline of street <br />• Outline end dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utllities • Show measurements <br />PERMIT CONDITIONS <br />1. All cells for inapection shall bx made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be peAormed in accordance with this permit and cunent City of Everett Design and Construction <br />Stendarda end Specificationa. <br />3. Call Locatlon Underground Service 48 hra before you dig. TOLL FREE NUMBER 1•800-4245555. <br />W <br />H <br />� <br />� <br />O <br />� � <br />t � <br />; O <br />� a <br />�l" i � o�e� T/7�9.3 <br />Appraved for Con � ction ate <br />� � /7-95� <br />FINAL INSPECTION a_� <br />� Approved as Consiructed <br />�� PUBLIC WORKS DEPARTMENT <br />f 3200 Ceder Street <br />Everett, WA 88201 <br />• Phona:259-8810 <br />ACKNOWLEDGEMENT OF CONDlTIONS <br />The undersigned owner/appiicant hereby agrees to hold and save harm- <br />less the City ot Everett trom any and all claims tur uamages, costs, <br />expenses, or causes of action that may arise becai.se of irstzllation <br />and maintenance of lhe improvement or other riyht-of•way use hereta <br />applied tor and turther agrees to remove same upon notice irom the <br />City and to repla e public property damaged thereby. <br />Signatur� Appli� u' � 4 �e <br />WORK AUTHORIZED BY THIS PERMIT MUST BE ST TED WITHIN <br />1B0 DAYS 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 />r, <br />