Laserfiche WebLink
Date 1-26-95 <br />PUBLIC <br />Print or Type Only <br />AppliGatiOn For <br />WOR�S <br />� <br />Op <br />C] <br />Duane Brandvold 5307 <br />Owner <br />Applican� <br />DescriUe Proposed Work <br />Project Address �if knownl <br />r <br />� <br />� <br />13�Ith <br />new d�plex <br />Lot 2 SP 3 <br />5 (p—ZS� <br />PERMI� ��STING <br />it g8�8'v`�gir� <br />o".;�iii �'�� <br />I�.a a M M <br />M M M <br />e SE Snohomi� <br />'� �. = C�-+ � � � <br />Otilf>� �(—�?. JJ <br />[.J] 0.� � Ul R] 4 <br />Address <br />g�ir� <br />o�a <br />b m o <br />9829Q" <br />Y ��j? <br />3W N W <br />N N � <br />568-9342 <br />Zip <br />Attach four 14) cOpies ol plan5 lor propo5ed work • Draw �o SCale and nOle Vie �ollowing as applicable: <br />• Prcperty Lines <br />• Outline and dimensions ol all existing and <br />proposed structures on the lol <br />• E�isling and propOsed u�iGtieS <br />nunLc Wmb Vnrm�1 . �� O�� ' <br />eiav oeo� • 46850 <br />toleiFee � <br />le�e Appl Iee Pe�d S �^ <br />eelnnce Ove S <br />!�' <br />• Gentedine ol slreet <br />• Indiwte Norih <br />• Show any proposed greding chanyes <br />• Show measuremen�s <br />rnone <br />PERMIT CONDITIONS <br />1. All calis lor inspeclion shell be mede 24 hrs. In edvance • phone 259•8810. <br />2. All work shall be peAormed in eccorc ance with this permit and current City of Everett Design end Construclion <br />Standerds and Specilicallons. <br />3. Cell Location Underground Service 4B hrs. belore you dig. TOLL FHEE NUMBER 1•B00•424•5555. <br />__���.Q�YYj G�e' 2, q�°►S <br />ApprovcA for Conshuction- Dalc <br />c ./ <br />: 1 . !��/�� /.�� N••/ � -% � <br />FINAL INSPECTION Dale <br />Approved as Consiructed <br />�PUBLIC WORKS DEPARTMENT <br />3200 Ceder Slreet <br />�J--- Everetl, WA 98201 <br />Phone;259�8810 <br />ACKNOWLEDG[MENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />� <br />� <br />� <br />� <br />O <br />a <br />ihr unde�sig�etl owner/applicanl hereby agrees to hold and save harm� <br />less the Cdy ol Everelt Irom any antl all claims lor damages, costs. <br />expenses, or causes of ac�ion �hal may arise because oi inslallation <br />and mamtenance ol lhe improvement or other nghPof�way use hereto <br />epplied lor and further agrees lo remove scme u n notice Irom Ihe <br />C�1 anA to rep�ace Pubhc property damaged ihe e�. <br />1 � <br />� i.,.n.., . .�:�_�� ..rY�,�� ...�. �' ; �� /�`�// ;� <br />S, Celwe ol Apphcant Date <br />WORK AUTHORI2ED BY THIS PERMIT MUST B[ STARTEO WITHIN <br />180 C7AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 70 <br />BE DILIGENTLY PUASUED TO COMPLETION. iHIS PERMIT MAY 8[ <br />CANCELLED BY ihiE CITV UPON ANV STOPPAGE Of WORK ON THIS <br />PROJECT OVER 90 DAYS DURAiION. <br />