Laserfiche WebLink
� h � <br />>H <br />�axx <br />p H <br />�Hrn <br />H � � <br />K n <br />H� <br />�N� <br />NH <br />[� O L=7 <br />OHd�y <br />HC��70 <br />4] V �] <br />9�3� <br />t� z <br />HH <br />g `� <br />c�Cy� <br />��r <br />Cjl <br />HOf�i� <br />a:'.-1 <br />0 1 <br />Date <br />qppf;calion For <br />PUBLIC W�RKS <br />Print or Type Only <br />Ov+ner <br />pppiicant <br />Describe Proposed Work _ <br />avo�m Wwks n�.rmn . <br />uiao oco� • — <br />PERMIT I PuOhcWmksFco S - <br />ToiaiFee <br />Less Aoo� Foe Pa�O 5 <br />Baiance Ouc 5 <br />Plan Check No: C 39547 SEPA <br />Applicat.Date: 02/11/93 <br />Job Addra: 9216 9TH DR SE <br />Owner: COBB ZEB <br />Tenant: <br />Proposed Use: SINGLE FAMILY RESIDENCE <br />Desc. of Work: <br />ADDITION <br />OFFICE SET �v� �ci <br />APPRVD FOR PERMIT: DATE_/_I_ BY. <br />� <br />Project Address (it known� � - <br />Atlach lour (A) copies ol plans for proposed work - Draw to scale and no�e � Ceoterline ol tpeet aniP <br />• Properry Lines • Indicate North <br />e Outline and dimensions of all existing and � ghow any proposed gratliny chanc�es <br />praposed structures on the lot � ghow measurements <br />• Existing and proposed utilities <br />U� <br />Phone <br />Phone <br />PERMIT CONDITIONS <br />1. All calls tor inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be pedormed in accordance wilh lhis permit and wrrent City ol Everett Design and Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 48 trs. belore you dig. TOLL FREE NUMBER 1•S00•424-55 . <br />�'UBLIC WONKS PERMIT <br />NOT REOUIRED <br />fl Y—,. �� <br />on1E � �'�_ i; <br />Approved for Construction Date <br />FINAL INSPECTION <br />Approved as Constructed <br />�A�:./ PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everett, �VA 98207 <br />?hone: 259�8810 <br />W <br />r <br />�s <br />� <br />L' <br />�' <br />ACKtJOVJLEDGEMENT OF CON�ITIONS <br />The undersigned owner/applicant hereby agrees Io hold and save harm- <br />less the City of Everett Irom any and ail claims for damages, costs, <br />expenses, or causes ol action that m�y arise because of installation <br />and maintenance of the impwvemenl or olher righbobway use hereto <br />ypplied lor and lurther agrees to remove same upon notice from the <br />City and to replace pubiic p�operty tlamaged ihereby. <br />Datc Date <br />Signature o� Applican! <br />80RDAYSTOFRDATE PERMIT ISESSUED ANDBTHEREAFEER ISFTO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PEFMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />