Laserfiche WebLink
, <br /> Application Fa / <br /> � PUBLIC WORKS PERMIT oe�B 10-22-96 <br /> PUBLIC WORKS DEPAHTMENT Public Worl:s Pertnit M '"/" f"� <br /> 32W Cedar Street <br /> Everett,WA 98201 259-8810 Building Pertnit M__3306 <br /> �;� ?OSTING 'ww , R „'° -- <br /> TYPE OR PRINT C�NLY oublic Works Fee$ � <br /> Loren Dorrah 2820 B Lincoln Wap Lynnwood 93036 787-6700 <br /> Owner Mailing Address City Z�p Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new i�ee�e- ��� � <br /> — � <br /> a <br /> 3 �'♦ <br /> PROJECTADDRESS(if known) 10423 19th Ave SE �/��13� Lot SB6P li�-96 � <br /> Atlach four(4)copies of plans for proposed work-�raw to scale and note the following if applicahle: � <br /> •Property Lines 'Outline and dimensions of 211 existing and propo^,ed structures on the lot •Ezisting and proposed utilities �' <br /> •Centerline of stieet •Indicate North •Show any proposed grading changas •Show measurements � ,I <br /> DO NOT WFITE BELOW THIS LINE i <br /> PERMIT CONDITIQNS: � <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be parformed 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 /> 11/08/96 iD�59RM �0{iNE54 °k <br /> / <br /> q00053455 � <br /> ELEC f?10.0� <br /> H00053306 <br /> ELDG f1255.00 <br /> FLEG f154.D0 <br /> MECH fic^0.00 <br /> SRCHR6 44.50 <br /> DRIVWV S�Q.00 <br /> l q00009i87 <br /> t�WTER i130.OD <br /> q00030882 <br /> SEWER 470.�0 <br /> S5'SDEV 51684.00 <br /> ' � ENOISI #'t30.00 <br /> ACKNOWLEC,G�'.�fJJT O��D�NS <br /> The undersigned owner/applic�'flf`��F�by a� b Id and sa��a harmless <br /> �l� � pl/ /�/�//�6 the City of Everetl from any and all claims for damages,costs,expei�_as,or <br /> Approved for Construction at� causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of-way use hereto applied for and tuAher agrees <br /> �1. /�� �//��� to remove same upon notice from the City and to replace public property <br /> � damaged there y. <br /> FINAL INSPECTION Date �//�/�//' � <br /> Approved as Constructed �/Y-I�l..� / / q <br /> ! ��— / <br /> Signature o Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DpYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENRY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Pfl0.1ECT OVER 90 DAYS DURATION. <br />