Laserfiche WebLink
��� <br />p � � <br />9 H CA <br />1 xa <br />y z i-�-t <br />Ox0 <br />'i1 H '�1 <br />VJ H <br />�O� <br />H t7 <br />OH <br />��g <br />�� ��" <br />Za� H ,3, <br />t� y x <br />H�H <br />gy <br />H <br />C+'1 � [�1 <br />HO(�i� <br />Date��- � 7 <br />Fpplication For <br />PUBLlC WORK� P�R11!'dIT <br />Prir,t or Type Only <br />�fI G4'.Yv,�c <br />10 POSTING 3�— ��-- <br />z�� <br />2ip <br />PuOLc Wa�ks Pcrm(�il y �" �—�^/6 — <br />pidp Depl. a O 7-- �� �✓� <br />r�nim wmks vice 5 <br />Talal Feu <br />Less nop� Fec vale S — <br />o�i��« o�� s 330 sa <br />ne <br />Project Address (if <br />Atlach tour (4) copies ol plans lor proposed work - Drav <br />• Property Lines <br />e Outline and dimensioris ol all existing and <br />proposed structures on the lot <br />• Existing and pwposed utilities <br />scale and no�e t e lollowing as applicable: �`Ff�'� g�N <br />. • Centerline ot street <br />• Indicate North <br />s Show any proposed 9rading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-881 5. <br />2. All work shall 6e performed in accordance with this permit and current City ol EvereU Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1•800•424•5555. <br />S_Tr� �o�.e <br />C�GYIlS.2 UCTE.r� <br />9-8 -8� <br />�' S>2E� I�,�,eov,�i»r.,JTs' To B� <br />/'�Ei� i9i'fi'r71���� �CF-Lo/S �f,'�>ED <br />` fil� ml — /% ff T <br />�t: <br />Approved lor Constructi Date <br />��� z-zy-�G <br />FINAL INSPECTION Date <br />Appraved as Consiructed <br />evere[t PUBLIC WORKS DEPNRTMENT <br />� 3200 Cedar Street <br />Everetl, WA 98201 <br />F'hone: 259�881C <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undcrsigned owner/appli pt hereby agrees to hold and save harm- <br />less the City ot Everetl fr m Any and-al4.claims for damages, costs, <br />expenses, or causes o( . tion that may ar�se because ol installation <br />and maiMenance of the mpr e nt or olrer riqh��of-viay use iiereto <br />applied for and further i rwuwv s�me upon notice irom the <br />City and to replace pu � ope ry dam�e�iereby. <br />WOflK lKLTHORIZED BY THIS PERMIT MUST 8[ STARTED WITHIN <br />180 DA�YS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED 10 COMPLETION. THIS PEflMIT MA� BE <br />CANCELLED 6Y TfiE CITY UPON ANY STOPP.4GE OF WORK ON THIS <br />PROJ[CT OV[R 90 DAl'S DUFiATION. <br />� <br />� <br />