Laserfiche WebLink
� <br /> i <br /> ���a <br /> H <br /> �x(� � <br /> H�Z H Dele__10_01-91 �1 - !'�_`")'y n,.m��wo,�e n.�mn� _�1 ' ' <br /> /� �--- <br /> K y � 4pplicntior.Far TO po STI N l� 7�/3 �7`L Piap Oeoi . 91 278� <br /> �� �° PUB�IC WORKS PERMIT °°^���w���.�.� s — <br /> .o�.�«. <br /> �zo . 1, Leae eno�F�n Pue S i <br /> 0 H � Print or Type Only ! d•�.,^��n�. S �C _ i <br /> �� 8 <br /> 4]• O <br /> Z y� 0'Connor s Oehler Construction 9201 Evergreen Wa �� ,Everett 98204 353-7700 <br /> �M y Owncr Madmg Atltlress Cily Zip Phonc <br /> y � <br /> Owner ' <br /> gdy ' <br /> �� Applicanl Mailing Address Cdy Zip Phone <br /> �� Describn Proposed Work dUP1eX <br /> - -�-`z W <br /> P�ole��Addre!ssl�lknownl � -n;��� �E��TNUTsT. Site Plan N4 L <br /> r <br /> Allach four(4)copies ol plens lor proposed work� Draw lo scnle+anA note tho lollowing as applicable. � <br /> • ProOarty Lines • Cenledine ol slreet ♦^ <br /> •Outline nnG dimenslons ol ell eKisting antl • Intlicale Norih v� <br /> proposed SIruC�ureS on Ihe lot • Show any proposed grnding chan�es <br /> • CzislinB and pwposoA ulilities • Show measuremenls � <br /> DO NOT WRITE BELOW TI115 LINE O <br /> ' ' PERMIT CONDITIONS <br /> ' 1.All cnll6lor Inspection shell be mede 2A hrs.in ndvance�phone 259•8870. <br /> ' 2.All wOrk shell be pedormed in etCordnnte wi�h ihis permit nnd curran�Cily ol Everet�Design end Cons�ruclion � <br /> � Slendards enA Spociliwtions. <br /> '�' 3.Call Locetion Underg�ound Service 4B hrs.belorc you dip.TOLL FREE NUMBER 7•800•424•5555. � <br /> '_' 1 , T1Gt �iTL�IVE I,L��vf�k�.qi'�1X�5 t-G :�.� �x[....lW�-7;. O <br /> � <br /> 1' � <br /> '� � <br /> 1-1 a <br /> I�f <br /> - <br /> � aI� ACKN0IYLLDG[MENT OF CONDIiIONS <br /> '�' �F The unaersi9ncA owner/�pp6cnnl hereUy a9rees lo hold anA savc ha�m� <br /> Iess the C�ty ol Everett Iwm any and all da�ms lor damapes. r,ost: <br /> � / esuense;, or causes ol ar.tion thal may anse Uecausn ol installatw�� <br /> �\ ��l�l�`=`� 1 G'� �:)1 �^d mairden�nr.e o� Ihe improvement or other n9nl�obway use herel� <br /> nphpd Inr ana lurlher agrees lo remove snme upon nnhce� hom thr <br /> ApP veA br Conslruclion . Date �ity anQ I�replace p/b�hc pioperty damayeA IhereUy <br /> ,�.� .-'(a _�__ G.. /o i i .`� � � � ' �% <br /> FINAI INSPECTION Dnle �l'�•. <br /> Approved ns Consiructetl iqnalure ot Apphcant Da�e <br /> PUBUCWORKSDEPARTMENT �'✓�RK AU(HORIZ[D �V TNIS PERMIT MUSi BE STARiED WITHIN <br /> �� 3200CedarSlroel 180 DAVS OF DATE PERMIT IS ISSUED AND iHF.REAFTFR IS i0 <br /> Everelt.WA 9B201 OE DILIGENTLY PUfiSUED TO COMPLETION. THIS PERMIT MAV B[ <br /> Phono�.259�tl910 CANCELLf.D �Y THE CITV UPON ANY STOPPAGE OF WORK ON tH15 <br /> PROJECI OVER 90 OAVS DURATIO� <br />