Laserfiche WebLink
� <br /> � <br /> � <br /> i <br /> I <br /> � <br /> } 6/7/85 <br /> � Date Pu01m Woib Vermil a <br /> Application For o�ae-oeoi.. 85/14946 <br /> PU�LIC WORKS PERMIT °°°��°W°.ksF°e <br /> lolol Fce $ <br /> LessAppL Fcc Pala g <br /> Print or Type Only oaiance oue 5 _ <br /> Thorvald Hinson 10130 7th Avenue S.E. Everett 98203 353-3996 <br /> Owner Mai{ing Address City Zip Phone Z <br /> 0 <br /> � <br /> .. <br /> Same �' <br /> m <br /> Applicant MailingAddress Cily Zip Phone �� <br /> .. .. <br /> Construct Attached Car—Port —� '� <br /> Describe Proposed Work ,.,...� <br /> `" m <br /> 0 <br /> co <br /> mo <br /> c� <br /> W � m <br /> Project Address(if known) 10130 7th At•enue S.E. � = y <br /> m <br /> .. <br /> Attach four(4)wpies of plans tor proposed work- Drew ro scale and note the following as applicable: � p z <br /> c <br /> • Prop�rty Lines • Centerline of street p '"'� <br /> • Outline and dimensions ol all existing and • Indicate Norih � �� <br /> proposed structures on ihe lot • Show any proposed grading changes ..�� �' <br /> • Existing and proposed utilities � Show measurements � T <br /> �D <br /> DO NOT WRITE BELOW THIS LINE —1 m <br /> PERMIT CONDITIONS � m in <br /> 1. All calls for inspection shall be made 24 hrs. in advance- phone 259-881 5. o r <br /> 2. All work shall be performed in accordance with Ihis permit and current City of Everett Design and Construction � c N <br /> Standards and Specifications. �N <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800•424•5555. � z c� <br /> .�m <br /> D <br /> O � <br /> � J � '""� <br /> /'U%�/�' G'�-� s <br />,i � �' , n <br /> ��,�'!l� �c���— � Z <br /> l� /�_ -�'�'�-�,E'�'.%� �� � _ <br /> � `�� �i :9�� � � <br /> �� Z <br /> 0 c <br /> � <br /> � <br /> � m <br /> ACKNOWLEDGEME�IT OF CONDITIONS <br /> The undersigned owner/applicaM herehy agrees to hold and save harm� <br /> less the City ot Everett from any and all claims for damages, costs, <br /> expenses, or causes of action that niay arise because of installation <br /> and maintenance of Ihe improvement or other right-of-way use hereto <br /> applied for and furthcr agrees to remove same upon notice Irom the <br /> Approved lor Construc:ion Date Gity and to replace public property damaged thereby. <br /> FIPJAL INSPECTION Date <br /> Approved as Consiruc�ed Si9nature ol Applicant Date <br /> everett PUBLIC WORKS DEPARTMENT WOFK AIJTHORIZED BY THIS PERMIT MUST BE STARTED WITH!N <br /> � 3200CedarStreet t80 DAYS OF DATE PERMI'f IS ISSUEU AND THEREAFTER IS TO <br /> Everett, WA 98207 BE DII.IGENTLi' PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Phone: 259-8815 CANCELLED BY THF.GTY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 D1YS DURATION. <br />