Laserfiche WebLink
Dat6 C �" r„euewom.a.�n. _ <br />AppllcatlonFor eaQow�. _ <br />PUBLIC WORKS PERKAIT <br />Print or Type Only <br />Plan Check Nos B 45732 SEPA <br />App11cat.Dates 10 03 94 <br />Job Addreees 5TH ST SE <br />Owne� Ownet: MORAI3 JON <br />Tenants <br />Propoeed Uees CONDO <br />Deec. of Work: <br />COVEAED, SCREENED POACH <br />Applicent <br />OFFICE SfiT JOB 6ET <br />Deetribe Proposad Work _ APPROVED FOR PERHITt DATB_/_/_ BY <br />Pro�ect Addrese (II known) <br />PUDMc WoA� F�� <br />Taltl Fs� � <br />Un AOV� Fq P��E i <br />B�bnn Du� i <br />Phone <br />:Ip Phone <br />Altach lour (4) coples ol plane lor proposed work • Draw to acale and note the lollowing ea eppllcable: <br />• Pioperty Llnes <br />• Ou1Une and dlmeneione ol all e�iallnp end <br />proposed 6tructures on t�e lot <br />• EalatlnB and propoaed utilitie6 <br />• Cenlerline ol elreat <br />• Indicale North <br />• Show any p�opoaed gradinp chenpae <br />• Show measuremenln <br />PERMIT CONDITIONS <br />1. All calls lor Inepectbn ehell be mede 24 hre. In edvance • phone 259•8810. <br />2. All work ahell be peAormed In accordence with thle permlt and currant City ol Everetl Deelpn and Conetruction <br />Stendarda end Specllicetlone. <br />3. Cell Locatlan UnderprounA 3ervlce 48 hra belore you dip. TOLL °REE NUMBER 1•800�4245555. <br />�'UDLIC WORKS P�pM�T <br />NOT EOUIRE� <br />oy <br />,i�TE /o � <br />Approved lor Conslructlon <br />FINAL INSPECTION Da�e <br />Approved as Conatrucled <br />PUBLIC WORKS DEPARTMENT <br />3200 Catlar Street <br />Everet4 WA BB201 <br />Phona:259�BB10 <br />ACKNOWLEDOEMENT OF CONDITIONS <br />r� <br />V� <br />C� <br />a. <br />The undersigned owner/epplitant herebv apreea lo hold and eave harm• <br />less the City ol Everall Irom any and all claime lor damage0. coela, <br />ezpensea, or caueee ol actlon fhet may arlse becaueo of Instellation <br />and meintenante ol Ihe improvamenl or other riphl•ol•way uee �ereto <br />epplied lor end lurther agrees lo remove same upon notice Irom Ihe <br />City and to replece publit property damaped thereby. <br />Sipnalure ol Applicanl Date <br />1VOPK AUTHORIZED BY THIS PERMIT MUST BE STARTEU WITHIN <br />1B0 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />AE DILIGENTLY PURSUED TO COMPLETIOf:. TI�IS PERMIT MAY BE <br />CANCEI.LED BY THE CITY UPON ANY STOPPAOE OF WORK ON THIS <br />PROJECT OVER 90 OAVS GURATION. <br />