Laserfiche WebLink
7/1Q/$�] I Pub�ic Wo�ks Poimil M — <br /> Date — 84/13611 <br /> Bieg.Deo��•— <br /> Application For <br /> PUBI_IC WORKS PERMII' PVOTotaFeeFee �_ - <br /> LassAppl.Fen Peitl 5 <br /> Balenca Cac � <br /> Print or Type Cinly <br /> Curt. Lillibridge 14th Street Yacht Basin Everett 96201 259-3L57 <br /> Ow'ier <br /> Mailinn Address Cit)� Zip Fhone <br /> Bet:er Built Buildings 11630 Slater Avenue N.E. Kirkland 98033 252_95=F, __ <br /> Aeplicant <br /> Mailing Address City Zip Phone <br /> Cor.struct 30'48' Storage Building <br /> Dcscribe Proposed Work <br /> � II <br /> EST �Project Address(if known) 1400 �t Marine View Drive <br /> � <br /> Attach tour(4) copies of plans lor proposed work- Draw to scale and notr. the lollowing as applicable: � <br /> • Property Lines • Centerline of street . <br /> • OuUine and dimensions ol al!existing and O Indicate North <br /> proposed structures on�he lot • Show any proposed grading chenges <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT'NRIT� BELOW THIS LINE � <br /> PERMIT CONDITIONS <br /> ?. All calls for inspection shall be made 24 hrs. in advance- phone 259•881 5. <br /> 2. All work shall be performed in accordance with this permit and curreM City o( Everett Design and Construction � <br /> � <br /> Standards and Specilications. � r� <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800•424-$555. � <br /> � <br /> r� ��� c �� /J � / � �y � y � <br /> � �/� � �/°� H � <br /> l� �U �,�° � ,���� � � � � � � <br /> I� �' � � , � � � <br /> � � � <br /> � <br /> p 7 <br /> C <br /> y � <br /> ACKNOWLEDGEMENT OF CONDITIONS r `' <br /> N F-: <br /> �-7 Ui <br /> Theundersignedowner/applicantherebyagreestoholdandsaveharn- K F <br /> less the Gty ol Everelt Irom any and all claims for damages, costs. � �j <br /> expenses, or causes ot action that may arise hecau=_e ol installation �T7 K, <br /> and m^intenanc� ot the improvement or olher right�obway use hereto � �; <br /> applied for and furiher agrees fu remove same upon notice from the �, <br /> Approved tar Constraction <br /> Dale City and to replace public�roperry damaged th=reby. U <br /> � <br /> C' <br /> FINAL INSPECTION Date Date r <br /> Approved as Conslructed SignaWre ot ApPlicant <br /> WOFK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHW �' <br /> everett PUBLIC WORKS DEPAFTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO . � <br /> � 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PEHMIT MJ,Y BE � <br /> Everett,WA 98201 CANCELLED �Y THE GITY UPON AN\'STOPPAGE OF WORK ON THIS �y <br /> Phone: 259-8815 PROJECT OVER 50 DAYS DURATION. �' <br /> � <br /> r <br /> U <br /> C <br />