Laserfiche WebLink
Def@�ti.iisz <br />Application For <br />PUBLIC WORKS PERMIT <br />TO POSTING �, ��-,�yr <br />Print or Type Only <br />PuO��c Wo�F� Permil � �� � / <br />e�ec oaa� . �5�6$ <br />PunLcwanafee s -- <br />iopllew <br />leas �00� Fee Pna � — <br />B�UnceO��e 5 Z� <br />Selec[ Homes 237 Elm St Everett WA 98203 Randy Clark 258-1503 or <br />pN,,,e� Mading Address Cdy Zin Phone 348 1320 <br />Owner <br />Descube Proposed Work <br />prp�acl Address UI known) <br />AtldresS <br />new cunstruc[ion <br />cny zm <br />T.o[ 87 <br />?-.. — 6R. IX� � � i <br />AUnch �our 141 copi��s ol plans lor pronosed work - �ra � to sc���� anet note Ihe lollowing as applicablo: <br />• Property Lmes • CFNerline �i sireel <br />• Outline and dimonsions ol ell evishng �nd • Indicaln 'Jnrth <br />proD�sed simctures on Ihe lot • Show ar� proposetl gratling changr.s <br />• E.isling a��d proposed utilities • Show measuremenls <br />PERMIT CONOITIONS <br />1. All calls fo� inspecllon shell be made 24 hrs. in ativance � phone 259•8810. <br />2. All work shall be pedormed In eccordance with this pennit and current Lity ol Everett Design end Construction <br />Standerds end SpecifiCa�lons. <br />3. pall Location Undarp�cund Servke 48 hrs. bebre you dig. TOLL PREE NUMBER i•800•424•5555. <br />4. lnr:t.al l r��,k cnns`.ruct,i.on �nt�,r:�nce behi.nd drivewav �9 per city <br />etanrl,,rd tl20�i and Fro�inn c�nt-rol :is direrter: bv Puhlie Wor}ce <br />inapn.-t,�r. <br />S. KPP.p r.it.v etr�otrs clean at. :;17 ti.mes <br />6. Curh m�t.ter �nr1 nir3ewalk in the pl�t are new and undamat�ed, <br />anv d�mneP t,heret� AhAll be rPplecPd �t th� riirr.reti�n nf tne <br />Puhl i� Wm-Ic;: TnRpPrhnr. <br />7_ Anv ch�nar• in tha drivr.way cut mu�t b� �ppr�vnd hv the PW 1n- <br />9p�r.tor, width Fit pmF linr limited Y.o r_xintin¢ apron wi.dth. <br />A. Cnnnert. a11 rnnF, rFlrd nn�i driv?wav riraine t,n :�t.nrm drain <br />r�vatPm T�r�vir��r3 tn I�t. <br />��. Ad.inet wHtar br,r.r�n r.., r-r,���e nr. �•n�3 nt' rnn�truct.ion. <br />]0. Urivrwnv^ ^hnl l Lr. r•r,mt>l��t.r�l�• �•ure�i h��ir,r� drivine �n thrm. <br />ppprovod as Conc� ,cteA <br />�—� PUALIC WORKS DEPARTMENT <br />� 3200 Cetlar Sbee� <br />� Everoll. WA 98201 <br />Phone 259�6810 <br />W <br />� <br />� <br />� <br />Z <br />O <br />� <br />Y/ <br />O <br />a <br />l.GKNOWLEDG[MENT OF CONDITIONS <br />7he un0ersigned ownm/apnliwr t h��reby agrees io hold and save harm� <br />------ --"-"-----" Iess ihe Gly al Everetl Irom any and all claims lor tl;n •ages. cosls. <br />rMpenses. or c�uses M.�G�on :hal may anse 6ec rose ol installatwn <br />%7 —� �� �nd mainlenance ol U�e ir.�r�mvement or other nghl-o4way use heretn <br />__ apphed lor .-�ntl iurlh� � a,;�ees to iemove same ur�n nohce Irom Ihe <br />D�te CiIY�4��1'c:rpi�cepubhcPropertllnmageC�herebY. <br />,f ��Cl(�'/'��'`"IJL� ' ����� <br />�� , � � J%r��. -f_ )_ �,1 <br />o,i� — LL � � �- `--- — <br />�� tiiqnalure ol ApPhCflnt Dalr, <br />WORN AUTHORIZL� BV THIS PF.RMIi A!U5T BE STARTED WITHIN <br />180 DAYS OF DATE PERAIIT I° ISSUED ANO iHEREAFT[R IS TO <br />OE DIUGEkTLV PURSU[D TC COMPLGTION. THIS PERMIT MAY BE <br />CAIJC[LLE� F3Y THE CIiV UPGiJ ANV STOPPAGE OF VJORK ON THISI <br />PROJ[CT OVER 90 DAVS DUhAT�O�� J <br />