Laserfiche WebLink
Date_— <br />qpplication For <br />PUBLIC WORKS PER�IT <br />PUDIic Woika Pe�mit � -- <br />Bldp. DeO� • <br />Publlc Wo�ka Fca 3 -� <br />Total Fae <br />Lass AOD� Fae 7a�d $ �� <br />Bnia��e oue _ <br />Print or Type Only SEPA <br />Plan Check No: C 41137 <br />ppplicat.Date: 06/29/93 phone � <br />Job Addrs: 2510 7TH ST <br />Owner: WILSOtd DOUG & ROXANNE <br />Owner Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENC <br />Desc. of Work: phone <br />HOUSE ADDN <br />— qpplicant <br />Describe Proposed Work _. <br />prole�t Address (if known) <br />JOB SET��-- <br />OFFICE SET�� , <br />ppPRVD FOR PERMIT: DATE�/__�_— BY <br />lans for proposed work • Draw to scale and note the tollowing �as applicable: <br />4 co ies of p f street <br />Atlach four ( ) P <br />• Property Lines <br />• Outline and dimensions ot all existing and <br />proposed structures on lhe lot <br />• Existin9 and G�oposed utilities <br />• Centerlme o <br />O Indicale North �han es <br />• Show any propose� 9�adinc� 9 <br />• Show measurements <br />PERMIT CONDITIONS hone 259•8810. <br />7, All calls for inspection shall be made 24 hrs. in advance • p <br />2. A�I work shall be performed in accordance with this permit and current City of Everett Desi9C,24-5555uction <br />Standards and Specifications. <br />3. Call Location Underground Servl�e 48 hrs. befnre you die. TOLL FREE NUMBER 1•8 <br />PUBIIC 1NORKS I+ERMI7 <br />NOT HEQUIRED <br />DY ��� <br />DATE :" _s'r-�c_; <br />Date <br />Approved for Conslruction <br />Date <br />FINAL INSPECTIO"1 <br />ppproved as Construc!ed <br />/Ar��� PUBLIC WORKS DEPARTAhENT <br />3200 Cedar Slreet <br />� Everett,WA9i1201 <br />Phone: 259�8810 <br />W <br />H <br />� <br />� <br />� <br />O <br />ACKNOWLEDGEMENT OF COe�1T�� oNd and save harm- <br />7he �ndersigned owner/apP��cant hereby ag costs, <br />less the City of Everell Irom any and all claims for damages, <br />expenses, or causes of action Ihat may arise because of installation <br />and maintenance of the imprcvement or othar righl•ohwaY �SQ he�e�° <br />aPp�{ed (or and further agrees to �damaged herebyn notice trom the <br />City and to replace public P�oPe�ty <br />Dale <br />Signa�urr of ApP�icant <br />WORK AUTHORIZED 8Y THIS PERM�T MUST BE STARTED WITH� <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br />CANCEILLED BY THE CITY UP N�ANY STOPPAGE'OF W�RK ON THIS <br />PROJECT OVEF7 90 DAYS DURATION. <br />