Laserfiche WebLink
�8te � �/ "/ P�pIK Worb P�rmtl• �S� �` <br /> Appllcetion For aiau.o•o�.• <br /> PUBLIC WORKS PERMIT ^�°.;;:°�eF�� : <br /> Lw ApD�Fea PUE f <br /> e.i.��.o�. s 60.0� <br /> Print or Type Only �f a7 3 <br /> .�uu�S ��w�-ir- �z �+�� W�i £'v� 9�zoA 33� -&�� <br /> Owner Meilinp Addresa City Zip Phone <br /> ���..e,,L� �� �,��� N�. ��Sr� ��wu� 9� � -�9 <br /> qpp��Cenj Melling Add�esa City LO Phone <br /> Deecrlbe P�oposed Work `"� IU�) IT �Gl.tl �iQ1►11 LN ��/��+��L <br /> W <br /> Prolect Addreea(if known) � $ ' ~ <br /> Attech four(4)r.oplea ol plana lor proposed work•Draw to scale end nola the lollowing es applicable: � <br /> • Property Llnea • :enterline ol strxel � <br /> • Outllne end dimanelona ol ell exlatinp end • Indicate North <br /> propoeed etructures on the lot • Show eny proposed Breding chanpes <br /> • Ezistlnp end proposed utilitlea • Show measurements � <br /> UO PlOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. All calle lor Inepectlon ehell be mede 24 hrs. in advance-phone 259•8815. � <br /> 2. All work ehell be peAormed In acco�dance with this permll and current City ol Evereft Design and Conslruction <br /> Stenderde end Specllicetiona <br /> 3. Cell Location Underground Service 48 hrs.belore you dip.TOLL FREE NUMBER 1•800•424•5555. � <br /> f! TO BE Co�e%fT.e/iCTEO 1'Eie �IPP.Qo✓ED /�dNS O <br /> G�TEU /-/6-85 A�/D A!'P[iCedcE' CiTj/ <br /> D� EvE�eETl S`lANDd,EDS, H <br /> � <br /> � O <br /> ��r�Plc �^� a <br /> � � U OF �/" � ACKNOWLEDGEMENTOFCONDITIONS <br /> Tha unders;;ned owner/npplicant hereby epreee to hold and sava harm• <br /> Iess the City �>f Everelt from eny end ell cleime lor demape0. cost0. <br /> axpanses ees ol action- rlee becauae of Instellatlon <br /> end m ' tenance of the ir�Ptovemenl oi ot right•of•way use hereto <br /> � � S appli d lor and hher pg�ees to rert�ove sam upon notice Irom Ihe <br /> App�ove lor Conatrucllon Dele City d to repl ce pu Ic property demaped ther by. <br /> FINAL IN CTION Date , <br /> Approved a onahucted n re ol Appl c Dale <br /> everett PUBLIC WORKS DEPAHTMENT WORK AUTHORI ED 8Y THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200CedarSt�eet 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evarett.WA 98201 BE DILIGENTLV PURSUED TO COMPLETION. TH�S PERMIT MAV BE <br /> Phone: 259�8815 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />