Laserfiche WebLink
/ <br /> r�l ��J <br /> � <br /> Date�� �/ ��,��„ v,.,,..�..,,,.,, . ��/.7� <br /> � <br /> AnPLrnlicn Foi r�,i.i n�.�.� . _ __. _. _. __. <br /> PUB�IC WORKS PERMIT " . "°°,�°;�° _. <br /> ��.�.��r..r S__ _— <br /> i�...�n�.i r....v.��,.� S_ <br /> i�,�.„ .n,,, S A90 �i�2'� <br /> Print nr Type On�y - ---- <br /> W�l1iAw� -5 l�c�l�� ��42? ��!� A�e �uc'!'et� �.tJ.a 9�2C,/ ?_�,9(oSz9 <br /> pM,�e� MaJinyAAtlress Cil/ .'_q� rhone <br /> W1�`�{�Yv� � \�C�4H 3y23 �jP11A�JP CJPfP� 1A�A IQ20 � ��"..94_8?�'' <br /> Appheenl Mai6ng Atldrrss Cily Zip Phone <br /> � �d w�� k �o �d �. ,, <br /> DeSCnbf ProPoS('d Work .____-_T __________'_'_ <br /> 'J <br /> � _ <br /> Prolec�Address 1�1 knownl .3��J� ��C_CG_/�� __ _ � <br /> � <br /> Altar,h fow 141 cnp�es of plans b� proposetl wo�k � D�aw Ie scalr. and oote the lollowin� an�pP��oibie � <br /> ! Property L�neS • Centerhne nl ;Ire�t � <br /> • Ou�i�ne and d�meneicns of ali e.�siiny an�l • Ind�catn Nnrih <br /> proposeA strucWres on Ihe lot • Show any proposed grading cnanqes <br /> • Eeisling and proposed ulddies • Show measuremenl� � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells lor inspection shnll be matle 24 hrs.in adoance�phone 2$9•88�0. � <br /> 2.All work ehall be pedormed in ecco�Aance with this permit and cuver.t Ciry ul Everett Design and Construction <br /> Standarda end SpeciliCations. <br /> 3.Call Location Underground Service 48 hrs.hefore ycu dig.TOLL FREE NUMBER 1•900•424•5555. � <br /> '� /�O f'c_.�''//i9!✓�/ _, %iZ'�lcCTv,F'�-�-�$� cri'/i/%li/✓ O <br /> � <br /> �`l G�v ,�._�l�% �;� C� >��. <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLE[7GFMENi OF CON�ITIONS <br /> Tnr�untlrrs��7n��d oWneUapplican�hereby ngrees lo hold and save harm- <br /> — ---"-- ic;s the� (:�ry ol Eve�etl Irom any and all cla�ms for tlamo4�5� ��osts. <br /> �_� <br /> � - % e.penses. o� causes ol actio� Ihat may anse beceuse ot insiallation <br /> � �.�`��[- anA �naimenance ol the �mprovement or other ngh��ol-way usr hereln <br /> � '� ��_ appl�ed lor anA Iwihei ayrees lo remove same u�on notice Irom the <br /> Applwed r on uctiq � 'Dale (;��y�nd lo repiace public pronerty Aamage� thereby <br /> � C� 1 � q <br /> �'� � "��"�/ — l�l ) ��_ �.�lQ- � ` �...��, '_ _ �.' �ZC�—� I <br /> FINAL INSPFCTION Oale '� � <br /> AFP�oved as Constructed S�onal e ol Apphcant Date <br /> rvrret� PUBLIC WORKSDEPARiMENI '�.VORK FUTHORIZED BV THIS P[RMIT MUST 8E ST4FiED WITHIN <br /> 180 DAVS OP DATE PERMIT IS ISSUEU AND THEREAFTER IS TO <br /> � 3200CetlarSlreel BE DIL�GENTLV PURSUED 10 COMPLETION THIS PERMIT MFV B[ <br /> Everelt WA 98201 CANCELLED BV iHE fITV UPON ANv STOPPAGE OF WORK ON THiS <br /> Phm�e�259�8d10 P!70JFCT OVER 90 DAVS DURATION <br /> i <br />