Laserfiche WebLink
ii <br /> / <br /> Dale - <br /> PUBLIC- WOR�C,S� . - , � �� <br /> �,y i?r i'�"�.�� ;_i:4� Public Works Pormit# � <br /> PE�IIA iT �" ' � �lr��°� Building Permit p - <br /> CT <br /> PUBLIC WORKSpEPARfA1Ef{75 Planning Relerence# ' <br /> 3200 Cedar Street " ` j <br /> Everelf,WA 98201 Public Works Fee S � . . <br /> (425)25�-881'0 ;�+t,4.;,y . . <br /> i ;(I::�;j, `�;i�.i5 Guarantee5 <br /> ,;;i n <br /> OWNERNAME � � �I' APPLICANTN^ME��� <br /> ANDADDRESSr�-',-��<: ; -.'" I L'�'.I:E ANDADDRE3S:•���� <br /> , �'�:='_T ��,� 1 �' (� _; :�,� <br /> - . - -.il: i., :�_3��_<3':� <br /> �-^� 6L•;53.[,� <br /> PHONE: " . ..- " �ii`�'� PHONE: <br /> y r;j, <br /> TAXPARCELI.D.N PRQIECTADDRESS: . . .__ , ... <br /> DESCRIPTION OF , _ . .. . . <br /> PROPOSED WORK � � � <br /> PERA1IT CONDITIONS <br /> I. All calls tor inspection shail be made 24 hours in advarice. <br /> 2. All work shall be performed in accordance wilh this permit and current City of Everett Design and Construction <br /> Slandards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-800-424-5555 ` <br /> r <br /> � <br /> . . .._.I . . . . '_ <br /> 'JP <br /> . . �__, _ I:.a C�._.. . . . _ ., . �a� :❑ _.j.. . . , _.., .. v . . _ '_ _ . . . -. _ . :_.. -.. . <br /> n ioe pHd_stcian tcav�J . m <br /> r m ,ve an� ceplare cu�k�, V»tt�r ancl :;ideaall: ae: p�r cicy nf Ever:.tt S andard Pi <br /> �5p _ 3nr nn this pc_�.,.,�1*s fe�.r.tan? a, dica�_t��i t.;• :h? Pub1: - . - -- _ O <br /> . ail unu�ed dciveways anti any Aioken c�r damage.l ;cea nu3t t,e _ei. . :::- ' <br /> ,ve drivaway frem th.-. Fr�,nr, peopert;� lim� nut ^ ' , <br /> , . .. _ _ _ - . - - O <br /> � <br /> N <br /> O <br /> To POSTING z - 3 - � � a <br /> ACKNOWLEDGEMENTOFCONDITIONS I <br /> /J The undersigned owner/appliranl hereby agrees to hold and <br /> �=F��«iC O �z U9 .�i�i savo hartnless tha Ciry of Everetl irom any and all claims lor <br /> bf� damages,costs,expenses,or causes ol action that may arise <br /> pr a I Constmction Dato because ol installalion and maintenence oi the improvement or i <br /> ��D Q� olher right•ol•way use hereto applied for and IuAher agrees to � <br /> � remove samo upon notice Irom Ihe City and to replace public <br /> FI AL INSPEC N propelty dam Bd Ih feb <br /> Appwved as nsuuclod Dato � � � . <br /> �- `�,� 9=s '°� � <br /> SignaluraolApph nt Dato � <br /> WORK AUTHORIZED BY 7HI5 PERMIT MUST BE STARTED WITHIN 180 DA'IS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGEN7LY PURSUED <br /> TO COGPLETION.THIS PERh11T A1AY AE CANCELL[D�V THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br /> 1 PNP�:OGI OATAliAR.INC <br />