Laserfiche WebLink
puB��c woRKs <br />PERMIT <br />PUDLIC WORKS DEPARTMENT <br />3200 Cetlar Street <br />Everett. WA 98201 <br />(425) 257•8810 <br />OWNERNAME`��Y1� F,U:i�l <br />1NDADDRES <br />�f1S Eroadway <br />EVERETT WA <br />PHONE (.^',Qt�,�'[i'�,—QQU[i <br />TAX PARCEL I.D. tl <br />DESCRIPTIONOFrQtW I�v2t:17]y IOi. <br />pROPOSED WORK: <br />nw <br />FERMIT CONDITIONS <br />APPLICANT NAME <br />ANDADDRESS: <br />93� G3 <br />PHONE: <br />PROJECT ADDRESS i� 1 V r� <br />Da10 1::: 7 j 3001 <br />Public Works Permil kF' SJ U 1 1'- 0 i i:; <br />Building Permit u <br />Planning Refcrence a <br />Pubiic Works Fec 5 �-° �' ' ��� <br />r�►� ��; y�k,o� 1-� 3�, o0 <br />rM{i+� IMl��G7�h1'�' Y���%�.�0 <br />.---i�-'i_. :34:- � <br />;;1 :��Oc <br />�.) . _�i t,i,'.� <br />Cid�a`CI W��.}r....,^R � .. �- <br />�'� ._. . . ��)ii,Ci <br />��ill��'. ��i�i�_�„ <br />, ��; � e, . - <br />1. All cails for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with lhis permit and currenl City of Everetl Dasign and Constru�tion <br />Standards and Specifications. <br />3. Calt Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555 <br />g'. A5 ���ved �Izn c�Gted IL-7-O�� `W <br />�j� (•� 5'�'Lil� Si ��G TL�CC �P�' Ci� 5'tZi�'fG�G1YC� � 2�S!'t an��f Z�S�J = <br />A� tiown h� 1 I stde af CAnS-}ru c,-k.i On ��, b�-�o�G znc. i%� <br />$i�.L GIf.L�ri�1U o✓' COn�-�r'uG'�ib✓1 iS �Gq;Jh. m <br />J J <br />�O' PZ•rk�n� ane� lar�d sc.�� �n n�ust ►x �Siruc��ec� � Q <br />�i I(o�v N�► 0� -�o s het� -��Ow -�m �,�G Z�'Cr S�i Z <br />�►��s s; �e`s Lz,�,dsc�p;n�-(w d�Pe�s�v�►�;h� l{rAtron• O <br />1. KG{� tG �.S�'r'CE�.S C�C7rr1 q, � a�( 'ti Na e$ d�vr � hq C on 5� �-'�t d'i •� <br />�, � C��n9 and�x-�;•!I 5hu�l �ae der�e sDc,s -Eo n�;n��� � <br />Z;h�ktv� �raP�.►��les. p, <br />C <br />Approvetl as Constructetl <br />(Z -�-0 l <br />Date <br />a <br />�..� % —.2?-0 .2 <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless tho City of Everett irom any arxl all claims tor <br />damages, costs, expenses, or causes ol ection that may arisa <br />because of installation and maintenance oi thu improvement or <br />other righl-ol-way use herclo applied lor and further agrees to <br />removo� aSne upo notice Irom the City and to replace public <br />prop dy ddma tl h� eb <br />/ <br />_ (U�0—of <br />Siqnawra of A Ik t Da1e <br />WORK AUTNORIZED BY THIS PERMIT MUST BE STARTED WITHIN f 80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO B[ DILIGENTLY PURSUED <br />TO COMPLETlON. THIS PERMIT MAV BE CANCELLED BY THE CIIY UPON ANY STOPPAG[ OF WOflK ON THIS PROJECT OVER 90 DAVS DURATION. <br />1 <br />