Laserfiche WebLink
I II <br /> I <br /> 1 I <br /> ��IiwNon Por r\ � <br /> PUBLIC V�ORKS PERMIT Date <br /> i;'-- � � PUBLIC WORKS DEPARTMENT Public Works Permit# ' �i, <br /> {''.�`�'..y i '�. <br />� . . 3200 Cedar Street , <br />�� Everetl,WA 98201 259-8810 Building Permit ri �, <br />�r:r - <br />' ' 1YPE OR PRINT ONLY Public Works Fee 5 I <br /> s;:��. <br /> E. - ' <br />� Plan Ch6ck No: C 53941 SEPA <br />� ., � Applicat.Date: Ol/14 97 i <br /> 4 �''�'r`_`' Job Addreee: 30i0 �STH ST Phone <br /> r. .��:. Owner � <br /> s: --„`-�:;` Owner: HALL VERNON <br />� � ProposednUeec SINGLE FAMILY RESIDENCE � <br /> ' ' Applicant � Deec. of Work: Phone <br />�.._,. - . REMODEL <br />� ,,.._..i'�i:�,.� � <br />� Desc:ribe Proposed Work_ oFFzcE ssx Jos SET <br />` W <br /> F . : ,-.� ��_� <br />,�._ I-- <br />�- � � APPROVED FOR PERMIT: DATE_/_/_ HY <br /> � <br /> �/ <br />� PRUJECT ADURESS (if known) /y� <br />�I � Attach four(4)copies ot plans for proposed work-Draw to scale and note the tollowing if applicable: �i� <br />� � •PropeAy Lines •Outlina and dimensions of all existiny and proposed structure;un tha!ot •Existin9 and proposed utilities O . <br />� � 'Centerline of street •Indicate North •Show any proposed grading changes "Show measurements � <br /> i DO NOT WRITE BELOW THIS LINE <br />' PERPAIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> � 2.AII work shall be performed in accordance with this permit 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 />� � <br /> s o �- , � �i°�` a <br /> ��� �m , � � <br /> , <br /> V����S � � <br /> �b �`'��� � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner/applicant hereby agrees to hold and save harmless . <br /> ihe City of Everett trom any and all claims tor damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of <br /> ApprovedtorConstruction Date theimprovementorotherright-of-wayuseheretoappliedforandfurtheragrees <br /> to remove same upon nolice lrom the City and to replace public property <br /> � damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED 8Y THIS PEfiMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENI LY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK 0�1 THIS PROJECT OVER 90 DAYS DUP.4T!ON. <br />