Laserfiche WebLink
Date 4/38/93 ��— (Q'Z�- 5 [J� � <br /> Pubbc Worx�permn• �� —/� �, <br /> AppIICBllOr1 fOf �' Bieo Oeo� • 40399 <br /> PUBLIG WORKS PERMIT PubTal�FeeFaa s <br /> TO PQSTI�;�► rol�%�y less�ooiFeeP�m : �j <br /> P�i111 O� Type O�lly e�ia��eo�e $ UV ^ <br /> _ 0'Connor 6 0 hler ons 1kl�yth Sc sR !!1_p F •�ror� OR90R 759-77nn <br /> Owner Meilinq qddress <br /> ���Y Z�P Phone <br /> Owner <br /> Applicant Mailing Atldrese Cit <br /> Y Z�P Phone <br /> Describe Proposed Work New house Lot 2 SP II25-91 <br /> Project Address lif knownl _�V��_ � <br /> Attach lour(4)copies ol plans lor proposed work- Draw to scaie antl note me�olloNing as applicable: � <br /> • P�oper:y Lines • Centedine ol slreet <br /> • Oulline and dimensions ol all existing end • Indicale North � <br /> proposetl slructures on the lot • Show any proposed gratling changes <br /> • EziSting and proposetl ulililieS • Show measurement9 <br /> DO NOT WRITE BELOW Th;15 LINE � <br /> PERMIT CONDITIONS O <br /> 1.All cells lur Inspectlun ehell be made 24 hrs.In advance•phone 289•(i810. <br /> 2.All work ahell be pedormed in ecw�dance with thie permit end cwrent Uty ol Eveiett Dealgn and Conatructlon ' <br /> Standaida end Specilicetione. <br /> 3.Cell Loceti�n Underpro�nd Service 48 h�e.beloie you dip.TOLL FREE NUMBER 1•800-4Q4•5585. <br /> '�. PrtN�cio �h�l�rttbion kYu1c{� drainy -(or rao�F�oP runo-f� Z <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ��j� ACKNOWLEDGEMENT OF CONDITIONS <br /> ' w The undersigned owner/applicant here6y eg�ees to hold and save hurm� <br />' l less Ihe Gty of Everett Irom any and ell cleims fo� damages, cosis. <br /> �1 ^ ,A,� �I� �/�/�� ezpenses, or cau5e5 0l aclpion that may a�ise because of in6tallation <br /> �� ���v`f�� and mainfenance ol Ihe �m rovement a othar righbol•way use heieto <br /> Approved lor Construction lor and Iwiher agrees lo ramove same upon notice Irom ihe <br /> ate ity ai to replac public properly drmeged Ihereby. <br /> ��/�-�_� . �o 'if� J . <br /> ! � � <br /> FINAL INSPECTION Dafe — ^ <br /> Approved as Constructed Signalure ol pplicanl Dele <br /> � PUBLICWORKSDEPAHTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHiN <br /> 3200CeAerStreet 1B0 DAYS OF DATE PERMIi IS ISSUED AND THEREAFTER IS TO <br /> EverelR WA BB201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:258�8810 CANCELLED BY THF.CI7Y UPON ANV S70PPAGE OF WOFK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />