Laserfiche WebLink
�" � <br />��� <br />9HpGCn <br />yZH <br />F'C � <br />'�M� <br />VJ H <br />z <br />��C <br />OH�y <br />H C+1 O <br />(�]Y �] <br />t+y� <br />i--� H <br />gy <br />C] t7 y <br />� � [i] <br />HO[yi� <br />Date �0- 1- 1 <br />qpplication� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />KURISA & FER <br />�— <br />Owner <br />JON'S CONST <br />qpplitant <br />�z <br />AdJress <br />Describe Proposed Work TI — CORNERSTONE Pt <br />Project Adtlress (it known) 909 <br />� Pu[. c Waea Pn�mi� • <br />" � 91/28047 <br />� ' 9�aa.0eo� • � -- <br />Pum�cwo�xsF'ee $ <br />Total Fee <br />Lese AOG� Fee Pai� S <br />Balance Oue 5 _ <br />Z�p Phone <br />Ci�y <br />Atlach four (4) copies of plans lor proposao work • Draw to scale and note � Ce���erline ol tPeet able: <br />• Properry Lines • Indicale Nortii <br />• Outline and dim�n�Ions of all existing and � ghow any proposed grading changes <br />proposed sin.ctures on the Iot • Show measurements <br />• Existing ara proposed utilities <br />PERMIT CONDITIONS <br />t. All calis for Inspection shell be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be peAormed in accordance with Ihis permit and currenl City of Everett Desiqr. and Constructlon <br />Standards and Spe.cifica�lons. <br />3. Call Location UndergroundService 48 hrs. beforayou dig. TOLL FREE NUMBER 1•800•424•5555. ` <br />�/�� (.dCn!>> CG✓z-r,,,� �d�i�`'/'eq�Cc.�t.��� <br />r <br />�� <br />/�J. �/- 7 � <br />Approved for Construction � - _ � , Dale <br />FINAL �NSPECTION Date <br />Approved as Constructed <br />����PUBLICWORKSUEPARTMENT <br />3200 Cedar Slreet <br />Everett, WA 98201 <br />� Phune:259•BB70 <br />�E <br />ACKNOWLEDGEMENT OF (;ONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />Iess Ihe City of Evere�t Irom any and al; claims for damages, costs. <br />expenses, or causes of aclion ihat may ari�e because of Installation <br />and maintenance ol lhe improvement or other right-of-way use hereto <br />applied for and lurther agrees to remove same upon notice from ihe <br />Ciry and lo rEplace public property damaged therehy. � -_ .. <br />Signawre of Applicant �ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEC WITHIN <br />180 DAYS OF DATE PERMITIS ISSUED AND THEREAFTER IS�TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELL[D BY THE CIN UPON ANY STOPPAGE OF WORK ON THI� <br />PROJECT OVER 90 DAYS DURATION. ��� - <br />