Laserfiche WebLink
everett APPLICATION FOR PUBLIC WORKS PERMIT <br /> � TYPe or Prin:clearly with ink <br /> PRESS HARD-YOU ARE MAKING COPIES pERM1T NO. �Z'�'3 <br /> PUBLIC WORKS <br /> EVERETf,WASHINGTON BLDG. DEPT. NO.�Iz O��S � <br /> i�OWNER ❑ AGENT DATE 7�LU -fSZ <br /> APPLICANT/FIRMREPRESENTED �'�C�U/N __Rdy_ _J'�cld5 ______ <br /> ADDRESS ����Co�� �✓�. CITY c�"�� TELEPHONE �Z 3Z �� <br /> HEREBY APPIIES FOR PERMISSION TO —u S e f1'���s fuCeSS Ta h,� ,25 c <br /> �` <br /> I ATTHE FOLLOWING LOCATION . ///� CULdy I�uc ELC�'t1T Wl� `j� ° � <br /> At�ach five(5)copies oi preliminary plans for proposed work Draw to scale and show ihe following as applicabie: <br /> V <br /> ' Property iines and sireet identity. ` Topographic changes requiring cuts and fills <br />� ` Outline and dimensions of existing and other than normal foundation. <br /> proposed structures. * On•site drainage systems when required. ' <br />!� ' Existing and proposed utilities. * Erosion control methods when required. <br /> i ' Centeriine oi abutting right of way. * North arrow � <br />'� 4 (�' , . /�//ac f�Ji��a'l�y I <br /> _ __ �-1J��- ' - - 51 nelure ol APPlicant <br />� PUBLIC WORKS PERMIT � <br /> CONOITIONS: � <br /> _r. . � � . . . .. , <br /> - - -_: � _. -.i,-�- -'--' -'- - -� '- �- , i. -i � . <br /> '-1-} �--.-a -: ��� _{ ..._-- ..1_ _ _1 -'-' . <br /> _ _ _ . _ " _ � _�-T_ _a-�ti � �_� _i — _ �'�—' � � <br /> - -, �-1 �-+-�- -+-�-�- ' � -' -� -� - - + _ �'-+ , <br /> L �-+ - � - ' <br /> - - - � - -1--1— - . _'�, _ � <br /> : ' -� .--�, i`_�� 1- ._ � - .1 ��� . <br /> -1 � �_ �- _ 1 � , i � _, . <br /> � I <br /> -'�-1 - -1-"- � . . _..- - -1-�� -1-'i_ � _; .- - .�. .. .-- - . . <br /> _ �_ _ �_'_i_ '_' _,-�... -, - 1 _l.� - ._ _ - _ _ _a <br /> _ �.-.-.� '-� �- --t.. 1 �- . a y �_l ♦. � a-! . - : <br /> ' � 1 : , � _; -;- .. <br /> ' ' _s �. � -}� �'�,� <br /> i . -J-.-._ _L_' - . _ _ _ -. <br /> �- <br /> i � _, i <br /> � 1 } y _ r_� , � ,- -•-- -. ��'__' <br /> - + 1 r�- �- �-�--t 1•--, , . . . ,_ -i � --� �� � <br /> � <br /> � + }� -}I ~ I' t Thq undersigned owner �ereby ngrees to hol0,and save harmlesv <br /> � � i_ _ _. _1I � f .�I �_ � _ � � �hC Cily OI Everet� trom AOy 0ntl 011 CI81T9 10� dem8QE8, CO615, <br /> �..i .. � _I � 1 ,_ T.-� � 1 Y .a �-_ eapenses.or cauaea ol aclion ihel may e•ise beceuse o1 instellalion <br /> � ' and meinlananca of Ihe improvement or ol�er nB��-obway uae <br /> -r- -�-'- 1-� - � -`' 1 -j� i j '--�-� -! �- � herelo applieC lor an�lurlher aqrees lo remove same upon noticn <br /> - - - Ti -�1� ' -�-+ 1"�_��_ � _ � from the City anA lo rep�ace Oublic proqetly Aamagetl Ihereby. <br /> 7.-.�/-�a.- � <br /> OVED FQR CON RUCTIQN DATE, / ACKNOWLEDGEMENT OF GONDITIONS <br /> I Y I /� ! ',�_. J �`I- <br /> �,((�= ���4=� ' ---—�(–�� �a�� � � ' Fz <br /> AP ROVED AS CCNSTRU �TED OATE I ATURE OP P IC JT DATE <br /> PERMIT IS VALID FOR 1 YEAR CALL FOR INSPECTION <br /> POST ON 25g.gg� � <br /> EXPIRATION JOBSITE 24HRS. BEFORECONSTRUCTION � <br />