Laserfiche WebLink
Da19�4Ju-t1-/ n'"� rw, c�m��we,..ve,mn. n -- <br /> m�w�.m � � n L?,'_[�—._ <br /> Appi�calion ror _ <br /> y�� PUBLIC WORKS PERIIAIT ``"°"""°,"„°° s — <br /> � �,,,,«, _ <br /> y ��ss�oo�r.e a.�a S <br /> A pC n,ia���m� S <br /> 9y�y'y Print or Type Only <br /> H 9� <br /> i0 �� � � f `�� / �'�"�� <br /> �� �� , ,. /� .3�,N �l �� 20 �..` —�7 <br /> "�� N"�� Ownor MaJing Atldress Cny Lp Phone <br /> UJ H <br /> � x <br /> Qy d Maihny Address Cily Zip Phone <br /> qpplica�l <br /> � �8 _ � � <br /> 'n�-1� � Descri6e Pioposed Work _. � <br /> ZM _ <br /> y y — <br /> t' H — <br /> gy� W <br /> � �yy � �- <br /> � Pwiect AdAress UI knownl / <br /> O <br /> y Allach lour 141 copios o�Olans lo�Proposed worh� Draw to scale and not�Ihe loliowing as apPlicabie � <br /> • property Lines • Cen�edine o�sVeet <br /> • Oulline antl dimenvons ol all enstiny a�A � S�ow any proposetl F7raA�n9 changes <br /> proposed siruclures on Ihe lot � <br /> • E�isting and p�oposed utddies • Show measurements <br /> DO NO�WRITE BELOW TMIS LIN[ O <br /> p PERMIT CONDITIONS � <br /> ! � 1.All cells�or inspoction shall be made 24 hrs.in advanca�pho�e 259•8810 <br /> ' 2.All work 5hall ba pedormed in ecco�dnnce with this permd and cmrenl Cdy ol Everett Desi9n antl Constmction <br /> 5tanderde end Specdicetions. � <br /> 3.Call Location Underpround Sarvna 4B hrs bolore you dig TOLL FREE NUMBER 7•800•424•5555. <br /> '� � <br /> � ' /{/� [ / O <br /> r (.�l� �i! /(':"�-°• ��� . n, f �� �'C /�y:�(�� ,{'. <br /> �~ �� ! [ <br /> '�"' ; �� lf�/- �� � <br /> � � O <br /> a <br /> ; �' ACKI�OWLPOGEMLNTOFCONDRIONS <br /> � <br /> TP�.�undeisiyned uwneqapPl�canl hereby agmes lo hold end save arm- <br /> _ - --- -- icss the Cily ol Fw�icll ��om any and all c.laims �or dnmaqos, eosts. <br /> e.p�enses. or causes ol acllon tha� may anse because of installation <br /> `• and mamlennn�.e ol lhe improvemen� or other nyht�obway use hereto <br /> �pplieA �o� and wrlhn� agrues to remove samo upon notice Irom the <br /> ApProvod tor ConsVuclion Dale GIy anA to replaco Pubhc p�oPerry damaged Ihoreby. <br /> FINAL INSPECTION ���0 — Da�o <br /> Approved as Conslructed Si9n��.tme ol AnPhcanl <br /> WOFK AUT110RIZED BV T111� PERMIi MUST BE �TARTED WITHIN <br /> � PUdLIC WORKSDEPARTMENi 1l30 DAYS OF DATL PERMIT IS ISSUED AND THEHEAFTER IS TO <br /> 3200 CeAar Streol AE [71LIG[NiLV PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Evarett.WA 98201 L4NCELLED BV THE CITY UPON AN�STOPPAGE OF WORK ON THIS <br /> P�one.259�8[310 PHUJECT CVEF 90 DAVS DURATION. <br />