Laserfiche WebLink
I <br /> PUBLIG �ORlCS PERMIT °"' <br /> � PUBLIC WOHKS DEPAFfTMENT Publb Wwks Permk N <br /> 3200 Cader Street <br /> Everett,WA 98201 25&8810 Buildkfg Pertnk 8 <br /> NPE OR PRINT ONLY Publb Works Fee S <br /> Plan Chack Nos C 60612 SEPA <br /> rppllcat.Data: 10/22/98 <br /> �� Job Addr�s 360Y 26TH ST phone <br /> Ownars OLSSN DONNA <br /> Tanants <br /> Propored U�as SINGLE FAMILY RESIDElICE <br /> _ Deec. of Work: phone <br /> Applicant CHIPS REPAIR <br /> Describe Proposed Work_ oFgica SBT JOB SET _ 1 I � Ili <br /> APPRVD FOR PBRNITs D71TB BY W . <br /> • / / � <br /> �/ <br /> PAOJECT ADDRESS(`known) M <br /> Attech four(4)cop(es of plans tor proposed work-Draw to scale and note the tolbwing if applicable: O <br /> •Property L1nes 'Ou'Iine and tlimeneions o}ell exlsting and propaaed struetures on tiie bt 'Existfng end proposed utilHies <br /> 'Centerline of street 'Indicate North 5how any proposed greding chanyes "Show meesurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. • O <br /> 2.All wo�k shall be performed fn accordance with this permk and current City of Everett Design and <br /> Construction StandarcJs and Specificatfons. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. H <br /> . V♦ <br /> ��� 1tp WiWiiK�S MERMIT � <br /> �ot R�auiR�� a <br /> �Y�� <br /> lJITF...... � �—��� <br /> ACKNOWLEDOEMENTOFCONDRIONS <br /> � The undersigned owner/epPlicant liareby egreas to hold end aeve harmlw <br /> the C8y of Everott hom arry end all clalma for demages,coals,expenxs�or <br /> Approved for Construction Date �s��������U�m������d�M��a <br /> the improvertNnt orotlierright-of-uvaY use he�eto aPWfed for and NNbr apisas <br /> to rertave'same upon noUea from the City end to replece PubNc P�Y <br /> damaged thereby. <br /> FINAL INSPECTION Dete <br /> Approvud as Constructed <br /> signawre ot Applicant �" <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN�180 DAYS OF DATE PERMfT IS ISSUED AND THEREAFIER IS TO BE DILH3EPIiLY PURSUEL��i0 <br /> CAMPLETION.THIS PERMfT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON iHIS PRQIECT OVER BO DAYS DURATI0�1• � <br />