S lr-29-S 5,�,
<br />Date 4/4/95 � j� POST�N� ��"�'�" �_
<br />Applir.�tipn Fo
<br />PUBLIC WORKS PERMIT
<br />Print or Type Only
<br />BILL P RETALLICK
<br />QWnPi
<br />Applicant
<br />Describe ProposrA Worp _
<br />9532 1
<br />iA�J��in�
<br /><;r, :�:,.
<br />, , �� „
<br />.. ;,; .n , .o r; � .
<br />r �b (.� i (' I ' ' L-i
<br />��. . �. . �i .� f:i
<br />r r, a�. N.. e � I
<br />T}i P[;' SE SNOhOMISH 98290
<br />IU�(
<br />r'.'a i.enqi'. i�i'
<br />�� r.� �•i . .� ['i i.ii r:� , .
<br />�: nn�r,c_i ^ v c-�.x u� il�
<br />s..� ..i � Gi �. '..i r.i i�i :
<br />c rn .. .� rn r� n v� u� rn r i
<br />�' ,�Ir�:: Adt.r�•s;
<br />_ NEW DUPLEX
<br />Iv Zip
<br />n�e�, �.,,.co�,���i. � �EJ3_ �
<br />�,�,�� :,,,n • __ /.
<br />4 7-953---------.
<br />�„�,,,� W.,,�, �„�
<br />,��,� ��� s _ _
<br />�,.,, <<,�,� ��,. W., , s
<br />,. �,,. s Z— o � ---
<br />360-668-4505
<br />— ------Ad e .
<br />-- _ _ _ --- --------
<br />Pro�eclAtldresslilknown! _�S2(p— �¢/i¢�..��v__._��✓Q/_
<br />� _ ___.__...__.._ ____.___—_
<br />A�taeh four 14) coPies of pl�ns loi propused wu�.. � Diuv. In �..,il.� .i ,.y nob� �n�� �or,c,.emy ati aoU6nabie
<br />• Gqn�r�rlinC �d 9�ree�
<br />• I�•tli.:���. Nnr�h
<br />� cqrw .ury r.ronosen grarfinn r.nanq�•s
<br />• Shn�� mr,�s�ireinenis
<br />• P�one��Y Lines
<br />• Outline and Aimensions ol all caishnq and
<br />proposed slrucWres on the �or
<br />• EMisting and uroposed utilities
<br />PERMIT CONDITIONS
<br />1. All calls for inspeclion shall be made 24 hrs. in advance - phon�: 259•8810.
<br />2. All work shall be pedormed in accordance with this permit and current City of Everelt Des gn and Construction
<br />Standards and Specifications.
<br />3. Call Location llnderg�ound Service 48 hrs. belore you hig. TOLL FREE NUMBER 1•800-424•5555.
<br />- '��°``�r�'�'�' -7-6 -._9s_ _
<br />Appro d for Cc rucGun �� p,,�..
<br />�:�------- y=�� .►-
<br />FINAL INSPFCTION p;�i�
<br />Approved as Constructed
<br />PUBLIC WORKS DEPAR?McNT
<br />3200 Cedar Sheel
<br />Everett, WA �J8:01
<br />Phone:259�8810
<br />�
<br />O
<br />AChNOlO�LEDG[P.1EM� Ci� OpYDITIONS
<br />Ih•. �„��'�.�>�ant1A owneV.iPpliCent hHrebV �9�ees to I,old and s,l:o h�rm�
<br />h^�e. ;h.�. i.i�y o� F_verell Irom any and aP claims lor dama��e:t r,osls
<br />�'�P�'�15es. o� Cau5e5 01 aftion ihat m;iy anse beCauSe ol in5iall�;ion
<br />nnd m.imtenanr.e nl (hn improvement or o�he� nghbobway use. h�neio
<br />ar��nr�,; Inr and �urihur aqrees to remove same upon notice Irom ihe
<br />f. '�, u�.d in ir,plar..• C ibhC PioDriiy d2�m09Bd �here6V_
<br />��'nC:Y/'q � �5�����
<br />SIq11d�UIC O� Ap��ICdl1! �i�G
<br />l^:ORK AUTHORIZED BY THIS PERMI7 MUST .^E STARTEU WITHIN
<br />190 DFYS OF DATE PERMIT IS ISSUED AND THEREAFTEH IS TO
<br />�E DILIGENiL'i PURSUED TO COMPLETION. THIS PERMIT 1dAY BE
<br />GANCELLED B'f THE CITY UPON ANY STOPPAGE OF WORK ON THIS
<br />FROJECi OVER 90 DAVS DURATION.
<br />
|