Laserfiche WebLink
r <br /> , <br /> � <br /> _, <br /> PUBLIC WORKS i �ate � <br /> I Publit Works Permit r ='i��7 i.1 . <br /> PERMIT ! B���d,�9Pe�m��; �. ... -. <br /> PUBLIG WORI(S DEPARTMENT <br /> 7700 Cedar Streal Planning Relerence M <br /> Cvcren,WA 98201 Publie Works Fae 3 <br /> (425�257�8810 <br /> Guarantue S <br /> _----- --- - ---- ------------------�- ------. <br /> i OWNI:RNAME APPLICANTNAME <br /> IANDnUDPf55 ANDADDFE55�. <br /> I ,F�^_ <br /> �� PHONE � �Sc� . PHONE <br /> -__- _ ' __'_'... __.. . _ .. .— _" __. '_' ____ —_—'. ._. . .__'—__--___.__---____. __ I <br /> I7AZPAqCELI.O.I PROJECTA�ORESS � <br /> _ __—____ i�(t5 ' ' __.__—____ ' . �: , ; ,, <br /> _--___- ._—_ ' <br /> DESCRIPTIONOF -'- - �'----' �--------- i <br /> PROPOSE�WORK� " � ' ' <br /> �I _. _ _ _ _ _ _____ ..._ <br /> PERMIT CONDITIONS <br /> t. All calls for inspec�ion shall be made 24 hours in adva�ce <br /> 2. Ail work shall be porlormecl in acwr�iance with�his permi�and current Cily o�Everelt Design and Constructlon <br /> Slandards and Specilications. � <br /> 3 Call Locatlon Underground Service 48 hrs. betoro you dig.TOLL FREE NUMBER 1•800-024-5555 <br /> . . . . �..; . . . ��/� I <br /> , r, . , V/ <br /> i <br /> _.. _. ._ .. � <br /> O <br /> ' <br /> Z <br /> O � <br /> �'_ � <br /> O <br /> a <br />' � ACKtJOWLEDGEMENTOFCONDITIONS <br /> ' � , /.1 / / /� ,` The undersigned ownevapplicnnl hereby agrees lo holtl end <br /> ��� �� � i ; � � � � . savn hnrmless ihe Clly ol Eveiefl 6om any end ell claims lor <br /> ---1��=�—�-'"f "�� �—��-' dameges,cosls,ezpenses.or causos ol eclion Ihet may ense <br /> App�ovetllbrConstruclwn le <br /> because ol installelion antl meinlenence ol iha Improvemenl or <br /> olher nght�of-wey use hereto epplietl lor antl IuAhei ag�ees ta <br /> ._. .____..__ ._. __ ...._____ <br /> remave snme upon notice irom ihe City and lo replace public <br /> FlNnI MSPEC1lON � propetly demngetl thareby. <br /> Appiovnd ns ConslmclnA Dnto � <br /> , . <br /> . .... _ .� � , , ' <br /> . . . . <br /> . _ . ._. . . . _ .__. - _.___ SlgnqWra ol ApplKanl Dele <br /> WORN AUTNOfi1ZED BY TIIIS PERMIT AIUST BE STARTEO WIiHIN 1 B0 DAVS OF DATE PERMIT IS ISSUED AND iHEREAFfER IS TO OE DILIGENTLV PURSUED <br /> TO COMPLETION TMIS PERMIT MAY OE CANCELLEO DV THE CIiY UPON ANV STOPPAGE OF WORN ON THIS PRQIECT OVER 90 DAVS DURAiION. <br /> erwrirm� <br /> pAiApAR.MG <br />