Laserfiche WebLink
PUBLIC WORKS Date <br /> Public Works Parmil N � � - �:�:':� �. <br /> � PERMIT 8�,���„9P��m,�a ,.�,�-. _ <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everel;,WA 98201 Public Works Fee 5 <br /> (425)257•8810 - - <br /> Guarantee$ <br /> OWNERNAME 4PPLICANTNAME G``C) `O/ <br /> ANDAOORESS � � �ANDADOPESS: � - J �1 <br /> ,,-- �0 POSTING...ANk.�.5..1o0e <br /> PHONE: . . . . PHONE' <br /> TAXPARCELI.D.N PflQIECTADDF7E5S: _ <br /> DESCRIPTIONOF . . , . <br /> PROPOSED WORK: <br /> PER1�11T CONDITIONS <br /> 1. Atl calls tor inspection shall be made 24 hours in advance. <br /> 2. All work shall be pedormed in accordance with lhis permit and current Ciry o(Everefl Design and Construclion <br /> Standards and Specitications. � <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig.TOLL FREE NUMBER 1-B00-424-5555 <br /> � <br /> �'A <br /> V/ <br /> iu� � �d�:tc c :wst� .=��t wit_h Ute P�ai:1 �.�' W.>cn:: i •r;� t :�e _ . .cu,:•: ����� � <br /> iagr, r�:�r,ting p=inr .�o h:.qinning the pcojer,t . • O <br /> _ :1;C:��1 ?C���1^!: �ORCCQ_ IL'939�SC@.5 3S detecminad by th? F'LLfi11C POC�C9 I[IS[2='. : � <br /> a;1v, 4's5-'•.N-74i�3) , �uch a:.• siit fFnce, stLav i�31es, swale�, or or„sic,n t� . <br /> .l;�meve ?rc�;ic,n cc�ntrcl measuceR upon caopler,in» of the pro�e�t �ri��• - . .. Z <br /> . , i.,��- . . O <br /> �,A <br /> V/ <br /> O <br /> a <br /> — —-- ACKNOWLEDGEMENT OF CONDITIONS <br /> � Tho undersigned ownerlapplicant heroby agrees�o hold and <br /> � �i � y'� save harmless the City ol Evarett from any and all ciaims lor <br /> �r damagas,costs,ezpenses,or causes of action ihat may ariso <br /> , Appro d for onstNcti _ q ta because of installation and maintenanco ot Iho improvemenl or <br /> / olher nght-ol-way use hereto applied lor and lutlher agreos b <br /> 3 Zb—U remove same upon nutico Irom tha City and to replace public <br /> FINALINSPE ON p�0 da/m�afgedthefeby. <br /> ApPravetl as onsirunotl Dalo . �/ / �.4 - /O�2�� <br /> �� ✓ <br /> SignaWre ol AppLwnl Oato <br /> WORKAUTHORIZED BYTH�S PERMIT MUST BE STPR7ED WITHIN 1B0�AYS OF DlTE PERIAIT IS ISSUED ANO iHEREAFTER IS TO BE DILIGENTLY PURSUED <br /> 70 COMPLETION.THIS PERMIT MAY BE CANCELLED��THE CITV UPON ANY.,fOP�'AGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> [PY/P 1]�'�I DATABAR,INC. <br />