Laserfiche WebLink
� <br />TYPE OR PRINT ONLY <br />/�':ation For <br />PUBLIC W..�RKS PERMIT <br />?UBL�C WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, Wq g8201 259-8810 <br />Date r1 <br />Public Works Permit # <br />Building Permit q_ <br />Public Works Fee $ _ <br />Plan Check No: C 55692 SEPA <br />Owner Applicat.Date: 06/19/97 <br />Job Addrs: 3213 2UTH ST <br />Owner: HENNARD JOE <br />Tenant: <br />Applicant Propoeed Use: SINGLE FAMILY RESIDENCE <br />Deac. of Work: <br />REMODEL FOR TWO BEDROOMS AND FAMILY ROOM <br />Describe Proposed Work _ <br />OFFICE SET JOB SET <br />APPRVD FOR PERMIT: DATE_�_� <br />PROJECTADDRESS (if known) <br />Phone <br />Phone <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Lines •Outline and dimensions of all axisting and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br />._.----'- ......_...� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design ar�d <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />n:19'_IG rGRky y��ahli <br />�"" ,�6:uv�pE,. <br />L Y `�/� <br />'-.�.1 � ��.� �� <br />s,1TE _.__..(�_ <br />���� <br />�i/� <br />V♦ <br />O <br />a <br />ACKNOW�EDGEMENT OF CONDI710NS <br />The undersigned owneNapplicant hereby agrees to hold and save harmless <br />the City o( Everett from any and all claims for damages, cosis, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way uso hereto applied for and furiher agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />'.NORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIIJ 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPlEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />