Laserfiche WebLink
�8�e 3�9�92 Pubi¢Work�P�rmrl• <br /> Application For eiao o.o��. 35890 <br /> PUBLIC WORKS PERMIT P��TolNfea��� . <br /> Les��oo�.Fea PeiE S <br /> Bal�nce��e = � <br /> Print or Type Only <br /> The Boeing Oo. Po Box 3707 M/S OF-76 Seattle, WA 98124 342-5878 <br /> Owner Mailing Address Cily Zip Phone <br /> Owner <br /> Applicant Mailing Address Cily Zip P�one <br /> Deacribe P�oposed Work Te°�t improvement (C186Erootrt atee) <br /> W <br /> Pro�ect Addresa Iil known� 3003 W. Gsino Rd. — Bld . 40-31 � <br /> Altech lour(4)copias of plans lar proposed work• Drew to acele and note the lollowing as appliceble: � <br /> • Property Lines • Centerline of streel � <br /> • Ou111ne and dimenslona ol all ezlstinB and • Indicete Norlh <br /> proposed slructures on the lot • Show eny proposed grading chenBes <br /> • Existing end proposed utllifles • Show measurementa � <br /> N WRI EL HI LI E O <br /> PERMIT CONOITIONB <br /> 1.All calls for Inepectlon ehall be made 24 hrs.In advence•phone Z6�8810. � <br /> 2.All work ehall be peAormed In accordance with this permlt end cunent City ol Everett Deelpn and Conetrudion <br /> Standerds and Specllicatlone. <br /> 3.Cell Locallon Underyround Service 48 hre.betore you dip.TOLL FIIEE NUMlER 1•80Gd24�b666. � <br /> � �/ n O <br /> ���L�tc- C�bz� ,�riN..-c_� /vs�' �pt�o+-l.c/' <br /> r 0 � <br /> ��ic-9z �// <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undarsigned owner/applicent hereby agrees to hold end save herm• <br /> less the City ol Everett Irom eny and all clalma lar dameges, coets, <br /> expenses, or causes ol action that may erlee becauae ol Installation <br /> and maintenente of the improvement or other tight•ol•wey uee hereto <br /> epplied lor and luriher agreea to remove same upon nollce Irom the <br /> Approved lor Conslruction Dale City and to replace public property damaped Ihereby. <br /> FINAL INSPECTION Da�e <br /> Approved as Constructed Signeture of Applicant Dale <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> Evarel4 WA 98201 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:25B•8810 PqOJECT OVER 90 DAVS DURATION. <br />