Laserfiche WebLink
A'✓ , <br />� <br />AppllwHon For <br />PUBLIC WORKS PERMIT <br />TYPE OR PRINT ONLY <br />� <br />Describe Proposed Work C <br />PROJECT ADDRESS (if M;nown) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />��t <br />Mailing Address <br />33! o Ft <br />Mailing Address <br />� <br />Date /��/[ � � <br />--�� ,-- <br />Public Works Permil # —/ (D��_ <br />Bullding Permit N <br />Public Works Fee $ ��� <br />�.v G — �-s 2 — � �F�c, <br />Phone <br />� 3-0 � �--L � — 2.Y: <br />Atlech four (4) copies of plens tor proposed work - Draw to scale and note the iollowing N applicable: 12��4/96 u: 7,qcu y��p�q <br />�pruperty Lines "Outline and dimensions of all existing and proposed structures on the lot •Existing and proposedUtilities <br />�Centerline of street •Indicate NoAh 5how any proposed grading changes 5how measurements NOOD9u;�53 �`� nn <br />�qc� S^.�.,�L� <br />PERMIT COIJDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />5, <br />ti. <br />I)rive�v:ry disnensiona and Ic>cations sh�ll be per the �proved pltm dated 12i24196 and attached to <br />d�is pe�rnit. <br />U�a no re-bar or wire mesh reinforcing in coua•ete. 'Ihe na�v cament concrate drivaways si�all ba <br />thick. Comply with section 3-19.3(5) thru 3-193(8) ofthe city ofEverett Desigi a��d coastrvction <br />standards and specitications (attflched). <br />Broken ��r damagzu cm•b a�id eidewalk a6nll be replaced or repriired ai the Public Works L�spectors <br />C�ll'dC�lO1L <br />� <br />O <br />� <br />� <br />O <br />a <br />7�. f\ minitr�wn of 18' ofgrass psu�l.��ay shall be maintsuned (reinstalled) beriveen U�z hvo cL•iveways on <br />thisproperty'si'rontage. /�,�.r /��-L��-sb .�J1'th� �`W}.fS o12 (rlLfA�1�-rL �r`r�� <br />Eu-r�y e r� pl�� w� J, <br />�� <br />G <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The underslgned oK�ner/applicant hereby agrees to hold end save hartnless <br />the City ot Everetl from any and all claims tor damages, ccsts, expenses, or <br />causes of actlon that may arise because of Installatbn and malntenance of <br />the improvement or other right-oi-way use hereto applied for and tuAheragrees <br />to remove same upon notice from the City and to replace publlc property <br />damaged thereby. <br />� <br />Z— J <br />Signature of AppJl a Date <br />% <br />OMPL ON.TIH S PERMIT MAY 8E CANCEL�LED BY THE CINIUPON ANY STOPPAGE OF WORK ON THI PR EC OVER 90 DAYS WRATION.Y PURSUEDTO <br />