Laserfiche WebLink
Applicatlon For �/ <br /> � PUBL.IC WORKS PERMIT �1e 3-16-98 <br /> PUBLIC WORKS DEPARTMENT Public Works permit k 1"'/7�_ <br /> 3200 Cedar Street <br /> Eve2tl.WA 98201 259-8810 Building PertnR N 58170 <br /> JUN � s � <br /> TYPEORPRI�TONLY TO POSTING �b�kWorksFeeS � <br /> Lvnn Dailv PO Box 1321 Mill Creek 98082 425-806-9678 <br /> Owner Mailing Add2ss City Zip Phone <br /> Owner <br /> Applicant Mafiing Address City Zip phone <br /> Describe Proposed Work new house � <br /> Y— '. D:.`V�fl <br /> �E J��.(Q � <br /> euri_o i6U6.�5 � <br /> ?LU��S �40.00 //� <br /> iftCii 6G.OU �/♦ <br /> PROJECT ADDRESS(ifknown) 5010 E1 Charlee Lot 3 Sou�dfl32w Addn+.50 � <br /> Adach tour(4)copies of plans tor proposed work-praw to scale and noto ihe tollowing if applicable: �FTVc �_`U.CO ;� <br /> Fi.f:N G, 3(,0,5� O <br /> •Property Lines 'Outline and dimensions ol all existing and pmposed structures on the bt •Extsting�d proposed utili��s3` <br /> `CenteAine of street •Indicate North 5how any proposed grading changes 'Shaw measurerr�ln-� �`,� �� � <br /> DO NOT WRITE BELOW THIS LINE � �� <br /> PERMITCONDITIONS: 5EWFi i0.00 � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-88 �pt',L:T`" :513.v^0 <br /> 2.All work shall be performed in accordance with this permit and current Cit�of�nerett'D�ic,�n'and_ <br /> Construction Standards and Specifications. L+'���t �7 <br /> ��� <br /> 3. Call Locatior� Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 5555. � <br /> �� �.,o�'rQet� �r.� ��+r��hz� -f� GI rz�n� .rf.c sY� � <br /> �J/bvi�&� on lot O <br /> 5. v��� c,�y m �Jf ,nee-f ���e ���D2rfrn.e.��- �cc�t� a <br /> � <br /> r������� . <br /> � . � �llG �-�i✓ i� O✓l S % 7�G Y1'1 uJ �' wlt?i� � I�.�!�t r n� <br /> v�c�.r�,�.P„-� t r+�g�;r���s �.►d 6.e �,� s f►-�.�-l-�t <br /> �s ���- sfd � l�»� ��� .� 1 I3 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � / The undersig�ed owner/epplk.ant he�eby agrees to hoid end save hartnless <br /> � �r✓ 3 �8 the CNy ot Everetl from any and all claims for damages.casts,expenses,a <br /> Ap o d for tructio Date causes of actbn that may arise beceuse of instellatton and malntanence ol <br /> � the improvertient or otl�er right-ot-wey use hereto epplied fa and lurther eg�ees <br /> � to remove same upon notice trom the Cky and to replace puWic property <br /> �� 'IZ'�('-/i�( damaged by. <br /> FI AL NSPECTION Date � <br /> Appmved as Constructed <br /> y� <br /> Signature ol Applicant p�p <br /> WORK AUTHORIZEO BY THIS PERMIT MUST BE STAHfED WITHIN 180 DAYS OP DATE PERMR IS ISSUED AND lHER IS TO BE OILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS WRA710N. <br />