Laserfiche WebLink
D��O 11-10-92 y_•/�� `� l_� v�oucwon�nomn. V,2�1-I_ <br /> Applitaiion For eiao oro�• 38659 <br /> PUBLIC WORKS PERMIT °�°;o:��::`� : <br /> �.,.,��...P.a s <br /> Prinl or Type Only e,a.�.o�. s J� <br /> TO POSTING� -.-� 93 <br /> Blank N Blank PO Box 2166 Everect WA 98203 355-4725 <br /> Owner MetlingAtlOre56 Cny . Zip Phone <br /> Ovnei <br /> Applicanl MaiIInDAdtlicss Cay Zlp Phone <br /> DeScribe P�oposetl Work nCY }IOUEC <br /> /� � j�� A W <br /> Pro�ettAdtlressldknown) �l.L� ��`����„��- �v� � <br /> AilaCh lour(4)CopieS 01 Plans IOr pla0051•tl w0"�Drdw ID Scele:l�7 naie IhC 10110'.ving as applita�l0: � <br /> • Property Llnes •Centetline ol strecl /A <br /> •Outlme anC tllmensions ol all e�islinB and •Intli:ale Norlh V� <br /> propoSCtl SImC�ureS on I�e Ioi • $�uw any propO5C40ratlmg ch0nq25 <br /> •Evsting antl proPosed ulilities •Show mexsuramenis � <br /> �O NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t.nu cans lor inspection shail Wr mede 24 nrs.in etivance�phone 259•8810. � <br /> 2.All work shall bo pedormeG In atto�tlance with t�is permil end cwreN City ol Everett Design end Con5lmciion <br /> SlnnOarCs and Soecifications <br /> 3.CuIILaationUnOergrountl5ervite4Bhrsbebreyautlig.TOLLFHEENUMBENI•800�4$4•5555. � <br /> �4, Ex�s�.�ny d��ve•iay apr�h or, fr�d�Y r•�.�,�, v�. rc�ac�-ed�„d O <br /> it��lv�ec� �•, Eh -Fv/l he,���r� c�i�(, J�tt.rr2��d �:,</ew�lk. <br /> �r� >td �la�� +��;(�� �' <br /> V+ <br /> O <br /> a <br /> I�IGj �LKNOWLEDG&MENTOfCON[IITIONS <br /> lr inc untlersiqne0 ownciinpPbwnt nereby a��ees b bolC and save harm� <br /> luss tne C�ly ol Everett Irom nny and all claims br dnmages, costs. <br /> ( I' n1 e.penses, or causes ol aclion thal may anse Eecause ol installation <br /> /� (,[(x:II�1�,�et. 1 Z_ -1 -9L end mamlenante ol I�c improvemenl or other righ4ol�way use hercto <br /> appLetl lor antl lonnm a9�ecs lo�emave same uoon nol¢o Irom Ihe <br /> Anl o��A tor Conslmttion Dato Q��y antl IO�epld[e puDbc p�ope�iy dBmdpCE ihCrEby. <br /> � c c <br /> ' �����rC._� 7. iY. Yf �� /��/j <br /> FINAL INSPECTION Data <br /> App.ovetlasConstructotl � IweolApplicunl Date <br /> �� PIIBLIC WOANS DEPARTMENT RN AUTHORREO BY TMIS PERMIT MUST BE STARTED WITHIII <br /> ]dCACe�erS�rco1 1 0 DAVS OF DATE PEPMIT IS ISSUED AND THEREAfTER �5 TO <br /> Cv�-eIt.YJA 98201 BE DILIG[NTIV PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Pr�onu :59�tldt0 CANCELLED BY TME CITY UPON ANY STOPPAGE OF WORN ON TMIS <br /> PROJECT OVER 90 DAYS DURATION. <br />