Laserfiche WebLink
PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Su�.et <br />Evereli. WA 98201 <br />(425) 257�8810 <br />1::TH STF'E?.'T PAkTNEk.`i I�LC <br />owN[aNnr E199 VILLAGE CENTS"n "rL <br />ANDADDR��ILTEi? Wh nt�� i5 <br />925343U807 <br />P�10N[: <br />iA0517fiil <br />TAX PARCEL I.D.�'OUPC:a.:I <br />DFSCRIPTION OF <br />PHOPOS[U l'JORN�. <br />PERMIT CONDITIONS <br />i?�C�N<!VAN HC�tE <br />1�-� 1�1/2UiiS <br />Date <br />Y'i.�i� l ll-I.�J:: <br />Public Works Permit {'; ) � �l �-,_ � . <br />8uilding Permit # <br />Plannint� Reference a <br />.� �. �U <br />PublicVJarks °�: S <br />Guaran�cc S <br />APPLICANT NAME <br />nNo nooaess: <br />° �; ?���T1NG �_ ft "�9Q� <br />PHONE: <br />t. All calls lor inspeclion sliall be made 24 liours in advance - phone (425) 257-8610 <br />2. All work shall be performed in accordance with ihis permit and current City of Everett Design and Construction <br />Standards and Specifica�ions. <br />3. Call Location Underground Service 481irs. be(ore you dig. TOLL FREE NUMBER 1•B00-424-5555 <br />REFE%ENCE P47U508-�i31 EOR iITE r.pNPiTiCNs <br />l. ( <br />�t � �S� . <br />�a <br />�i �� ��� <br />A��aYrtl lor Consliuclion D io <br />; �.�. �� 3 � �' � <br />fINAI SPECTION <br />Appioced a5 Con5lrutied 081e <br />�"1 F' �-! c,J t_o -r� up G2 <br />r �CIil�-1:�P -�C9� <br />Cj ,v�'� l� i T ` • � <br />:'l' � <br />� <br />�� <br />., <br />L�! <br />1 Ql �H <br />�de�tiY)�tl>N �r <br />V f�1 � iT V(Yl Q] G F+ <br />�,il fM� � Q � -r�r. �� tT1 �i ;�� <br />r. � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />� <br />O <br />a <br />The undersigned ownecapplicant hereby agrees lo hold and <br />save harmless the City ol Everett Imm any and all claims tur <br />damages, cosis, expenses. or causes of action tf�at may arise <br />becaus of installation and maintenance of Ihe improvement or <br />h� f�way use ereto applied lor and lurther agrees to <br />re ve s i�e- on not ce Irom the Ciry and to replace public <br />p operty ama9e her by. <br />� _� I����I �� <br />�6ao�iature oi n D.ve <br />IYORH �! I7110N17FD IlV THIS P[H1.11T I.NST B[ S.aqT[D 1711h11�J 1D0 f)AVS Of= �AiE PER1d1T IS ISSUED AND THEREAFiER IS TO BE DILIGENTLV PIIRSUED <br />70 CU!,1f1 fJ I��J TI uS PEHGiIi I.L1V 6G CANCLI_l ED 13Y 7 HF CI7 Y UPOIJ AtJV S10PPAG[ OF VIORK ON THIS PROJECT OVER 90 DAYS DUFATION. <br />