Laserfiche WebLink
Date <br />Application For <br />PUBLIC WrRKS PERMIT <br />Print or Type Only <br />Owner <br />Applicant <br />Describe Proposed' <br />L'lan Check No: B 37342 <br />Applicat.Date: 07/13/92 <br />Job Addrs: 290a i§TH ST <br />Owner: MIKEL, WILLIE <br />Tenant: <br />Propoeed Use: SINGLE FAMZLY <br />Deec. of Work: <br />BATHAOOM ADDN <br />OFFICE SET JOH <br />SEPA <br />J. <br />Pub�ic Works Permi� • <br />eiey.000�. + — <br />PuClic Works Fee s <br />Total Fee <br />LeasADG� Fee PaiE s <br />Babnce Oue S <br />RESIDENCE Zip Phone <br />APPRVD FOR PERMIT: DATE_/_/_ BY <br />Project Address (if known) <br />Zip Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />c�xist�ng and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All cells for Inspection shall be made 24 hrs. in advance - phone 259-8810. <br />2. All work shall be peAormed in accordance with this permit and current City ot Everett Design and Construction <br />Stenderds and Specificatlona. <br />3. Call Locatlon Underground Service 48 hrs. before you dfg. TOLL FREE NUMBER 1-800-424•5555. <br />/ '� -���.T � �Ly�w��✓�/�c-'y��`'O"�n <br />'J i � <br />�� <br />Approved lor Construction Dale <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 CedarStreet <br />Everett, WA 98201 <br />Phone: 25&8870 <br />J <br />z <br />� <br />ACK�OWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the Ciry of Everell from any and atl claims for damages, costs, <br />expenses, or causes of action that may arise because ot installation <br />and mainlenance ol ihe improvement or olher righhof•way use hereto <br />applied for and further agrees to remove same upon notice trom the <br />Ciry and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />iB0 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTEF 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 i� �Y� DURATION. <br />� <br />