Laserfiche WebLink
PUBLIC WORKS <br />PE�MIT <br />PUPUC VJORK$ DEPARTMEIJT <br />�2(10 Getlnr S�reei <br />Fvere�I, WA 98201 <br />I•125) 257-8810 <br />� OIh'NER NAML.- . �. . . � � . .- <br />j allonooaess. EPALE7 Ah:F.I. <br />r,i� L.i�): 134� <br />EVL:kETT <br />Ir�uoNe ��,754_'�i•68 <br />F1A i•[����`. <br />.. . lAPPLICAN' YAAIE <br />� !ANDAUORESS. <br />PHONE'. <br />I Uale <br />I publie Works Perm�t = <br />Bmlding Pcrmi� a <br />Planning 9eferoncc a <br />Public Works Fee S <br />Guaranloa 5 <br />_ ___.____ _ ___ <br />lAR PARCEI ID N PRQ1ECiADDFiESS: <br />nn37nlnni�r�:�r,ii lU E PEE�II 5T <br />D[SCRIPiION OF / \ <br />rivoroseo wonK�. NF,t� CStIVE47T+Y ON EA5T S7 DF. •�t' tF:� �PFitT ;' ��� �i//�e�J ------ —.. <br />\ ' <br />PERMIT CONDIiIONS <br />7. Ail C�IIs lot Inspecti �,� shall 6e m;�de 24 hours in advance. <br />2 All work shall be Nt rformed in accnrdance wtlh Ihis pmmtl and currnnt CiPy o� C-vere�I Design and Construchon <br />Standards and Sp�:cilications. <br />3. Call Location Unc'erground Service 48 nrs. be�ore you dig. TOLL �REE NUMBER 1-80D-424-5555 <br />.... . .... ... : �.i. ...,, .. . ,-IT'; .F I:.�.: �-.,. i.-,r,,.. .7.-�F3-(. rllSl�E�;".'_F. !-AtIC�:' <br />. „ _. �, : . . <br />� <br />N <br />m <br />O <br />Z <br />O <br />H <br />N <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />i �� / I 1 he unders�gned ownerapplicant hereby agrees b holtl ard <br />-- � �/�/ �q ,�� 9 � �" ,F�p i savo harmless ihe Cny of Evereu Iwm any antl all claims lor <br />(-/( _.�/�%r�^�.__ «��' ��. damages, cosis, expenses, or causos ol action thal may arise <br />np : d Iw Canslruction ��e� becauso ol inslallnlion and maintenance ol Ihe imFrovemnnl or <br />, ` �'�� othor righbobway uso hereto apphed lor anJ tuMer ogrees lo <br />// �—// — remove sama upon notice Imm Ihe City and lo repiaco public <br />, �`_..._> .�L�'-y,—._ �--_[—`-__�•�� I propenytlamagotll�oreby. <br />f INAL INtiP�G�ON <br />ApPmvetlasl onsbucletl Oa�e � <br />;,,.__ ' 1 4.3•.nn_ai�i / 3.��.r,s� I <br />/ y/ - ��k <br />.. _ . . . _ _. . I Sigmtura ol Appbwn� C �' Date � ' � j <br />...__. _..__-_.. ____.' __.. ._ __ <br />J <br />.�; �I�r nuluoHltl. U IlY ilu5 PU'MI1 MUSI !3� S1ARif_D Wllllll� tq0 OqYS OF DATE P[RMIT I:ISSUED AND iHEREAFTER ISTO OF DILIGFNTLV PURSUFU <br />lu ���! �I'I I I I��N I111', Pf H�lI7 1!nY NI LANCLI l.E U OY 1HL CI7 V UPON ANV S10PPAGE OF YIOfiN ON THIS PROJEGT OVFR'70 Df�YS DURATION <br />pAiAliM NC <br />li:d . <br />