Laserfiche WebLink
Date 8-26-91 <br />�C—I3'���� <br />Application For <br />PUBLIC WORKS PE �Tih+�, <br />n.. , . �Z-7-�� <br />Frint or Type Only � <br />Robert L. Smith & Assoc 2721 WetmoYe Ave Everett 98201 <br />Owner Mai4iny Address , � City � . Zip <br />Owner � . , . . � ,. ._ . � <br />Applicant M,.icny Aduress Ciry Zip <br />Describe Proposed Work New 4,OG0 SP auto <br />Prolect Address (if known) <br />� <br />Nttach lour (4) copies ot plans for proposed work - Draw to scale and note the following as applicable: <br />• Properly Lines <br />• Outline and dimensione ol all existing and <br />proposed structures on Ihe lot <br />• Existing and proposed ulilities <br />WRITE <br />Yoblicl'lorks Permll v _��/v� / / <br />eiay. oeot.. 91/27593 <br />Public �9orks Poe <br />TUaI Fao 5 — <br />less Aool. Fea Paia S_.��yQ <br />Baiancr Duo S =1 V � <br />3R8-8�02 <br />Phone <br />Pl,onz <br />• Centerline ol siree� <br />• Indicate Norih <br />• Show any proposed grading chanc�es <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2, All work shall be performed in accordance with this permit and current City of Everett Design �nd Constrnrtion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555. <br />��/ �,/t��,i^Uv�.� <br />r� <br />� <br />� <br />� <br />� <br />r/ <br />� � �'N� I�� � � �- 2 � - 9Z � <br />'�/♦ <br />O <br />� <br />�s�u2.�`I�esZ . I—ZI-9► <br />Apuroved onstruction 7 .� Date <br />i <br />/ � <br />��y /�� <br />RNAL INSPECTION •� � Date <br />Approved as Constructed <br />PUBLIC WORK: DEPARTMENT <br />3200 Cedar Straet <br />Everett, WP.88201 <br />Phone:253��BnJ <br />ACKNOWLEDG[MED'T O� CONDITIONS <br />Tho c�dersigned ow�ner/applicant hereby aarees to holo 2nu save harm- <br />less the Gity ol Everett �rom any and all cla.ms �or dam�ges, costs. <br />expenses, or causes ot aclion ihat may arise because ot installation <br />and maintenance of the improvement or other ri�ht�ol-way iise herelo <br />applied for and furiher agrees lo remove same upon notice irom ihe <br />City and to replace public property damaged thereby. <br />r � � // / � -, (/ <br />�5'��G��t, ��:'1 ��>�'�;'-�� <br />Si�n�lure of Applicanf Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />7B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DiLIGENTLY PURSUED TO COMPLETION. THIS PERM1IIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />�HOJECT OVER 90 DAYS DURATION, <br />