Laserfiche WebLink
PUBLIC WORKS. <br />PERMIT. <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />'Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME <br />ANDADDRESS: '-L""edway <br />p . O.DOXI <br />PHONE: - <br />Date 1,"1l2EI7 <br />Public Works Permit# <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $ 3 5 00 <br />Guarantee $ <br />APPLICANT NAME <br />AND ADDRESS: AL, -HA SKIT.Ft1€VIT:agION'}�'F:t�y°t:' <br />�i•�-sjjN'C. <br />4727 PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: j A7 <br />(,j 1 i77. �;�.t�i:s 4�fry v;--Ld u- <br />DESCRIPTION OF <br />PROPOSED WORK: - LOT SHORT ''1rt:`F <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs.. before you dig. TOLL FREE NUMBER 1-800424-5555 <br />-i, DO TIE, 's'tTPt:N'-41u—II)N ; fZR T=- y'_AT� T-kiTZrn 17XL LOT <br />REI 147 1TTE ii¢t_t�N.,,F77y°jT€? :I4_,�t,F AVENUE, :tT 1LeCT' 'oITH :}iLC)SAL. <br />6. "REMU E, T AND !:BEET} NITH :,ANTI. <br />for <br />FINAL INSPECTION <br />Approved as Constructed <br />. ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />f save harmless the City of Everett from any and all claims for <br />Da t damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby. <br />Date <br />Signature of Applicant Date <br />W- <br />0 <br />z <br />0 <br />CIO <br />a <br />WORKAUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED. <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BYTHE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90,DAYS DURATION. <br />EPWP (7/06) DATABAR, INC. <br />