Laserfiche WebLink
• �ppiKenon For DBte � �� _� \ <br /> � PUBLIC WORKS PERMIT publk Works Permil M <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 Building Permil N <br /> � <br /> TYPE OR PRINT ONLY Public Works Fee S � <br /> JeFfrey 6 Cheryl Chrieteneen 4924 Chinook Dr. Everett 98203 425-339-8888 <br /> Owner Mailinp AAtlrese Clry 21p Phone <br /> ApPllcanl Mellinp Atltl�ens Clty Zlp Phone <br /> Describe Proposed Work Break up concrete driveaay/valkway and replace wlth etamped W <br /> concrete driveway/walkway to include the er.treme left 6 ri ht eides of the � <br /> drivewa not now under concrete. � <br /> ¢ PROJECTADDRESS (il known) 4924 Chinook Drive � <br /> Attach lour(1)coplee plenn lor proposed vrork•Drew to ecale eM note Ihe Idlowing If epplkable: O <br /> •Property Linee •Outline end dimenelona al all e�latinp aM proposed slnKtures on the bt •Ealetlnp and proponetl Willtlee � <br /> •CenteAlne of street •Indfcate NoM •Show any proposed gradinq changea •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls lor inspection shall be made 24 hours in advance • phone (425)257-BB10 <br /> 2. All work shall be peAormed in accordence with this permit and current City of Everett Design and � <br /> Construction Stendards and Specificetlons.. <br /> 3. Cell Location Underground Service 4B hrs, bolore you dig.TOLL FREE NUMBER 1-s00-�21•6555. /A <br /> \/� <br /> � CQ�� �v' Rn /nSPtC�ion 6c�o2' �ur.n9 Co✓�trlat�e . O <br /> 5. /�ea�o cify ,S'f•-re{s CLaan Q-f aLL �imeS' , a <br /> ACKNOWLEOOEMENT OF CONDITIONS <br /> The urMersigned ownerlappllcant Mreby eqreee lo hold enA eava harmleae �I <br /> 30 9 Q the Ciry ol Everetl from eny and ell clalms ror damapes,coam,eRpensen,or <br /> rwe m ruc e causea ol acli�on thet may erlse because ol Inetalletlon end malntanance of the <br /> Improvement a other Aphltil�way uae hereto epplled lor and luhhar eprees to II <br /> � � remove eame upOn noNce�rom MB CIIV and M replece pub11C properly Oam' <br /> � i'.v�' /G -?G�• 9 aped thereby. <br /> ApprwedSasECona�trNucteO Date � 3D <br /> S p ur i ��� <br /> wo�m nun aa�n ev ni�s aear�r neusr ee srn�o wm+�ieo o�vs oF on�aera�vr s��ro n�a�s ro ee ouoo�rtiv ruasu�o� <br /> oayrat�ar+.t►ns rew,�rr tiav ee cnr�n ev n�cm uPon��rrv sruPw�oF wowc av tMs�o,ecrovea eo wvs ouw+taN. <br />