Laserfiche WebLink
PI�BLI� W�RI(S Date j ;r.; � iQ - <br /> PublicWorksPermita I-'PiU-'il�.' -u.: :� <br /> PERIIAITBuildingPcrmi�H y <br /> PUBLIC WORKS DEPARTMENT Planning Reference M <br /> 3200 Cedar Slreet :�:'�'� . ���� <br /> Evcretl,WA 98201 Public Works Fee$ <br /> (425)257-8810 GuaraNee 5 <br /> OP:NERNAM1IE F,LAIJj', `..i.. L F;.ARI%1,�'. I; APPLICANTNAME <br /> AN[]A�DRESS:�� _ .. . _ - ANDADDRESS: <br /> ri: t,�i:. .... . ., <br /> FVET�E'11 tti�? . . _. . , <br /> PHONE'. ti�.�."i�lI�IJD.j.; PHONE: <br /> TA%PAHGELI.D. s PROJECTADDRESS: _ � - , <br /> DECCRIPTIONOF F'�.JVE' �_"tiS� l:.�; Cfl ._. _ _ .:=�1it1 .. . ..�_ � .-1 <br /> orOPOSED WORK: ' - <br /> PERMIT CONDITIONS <br /> 1. All calls tor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be peAormed in acwrdance wilh this permit and current City oi Everetl Design and Construction <br /> Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> ... pt c approv�a . i�_ �u � - + . W i <br /> � ? _ � _ _ _ . , � ,. ... � <br /> � <br /> m <br /> :i -�'9-G=' �;2'rr'M O II <br /> I� 0207023 Z � <br /> _ I•:_n 4�.00- � . <br /> w:��nsr zo.o�> p <br /> :;i;ow zo.�;;�� <br /> �' U207p :: � <br /> ��`�:Ln '/;.�.I�.�I V/ <br /> : i i I r:',. 1.?.':..�,:il <br /> �. 7`if7�-� ..'O�. <br /> , �;,, ����� a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � '/�� Ci /f �'l Thn undersigned ownedapplicant hereby agmes to hold and <br /> Y y � �� (/�-V save harmless the Ciry ol Everett from any and all claims lor <br /> pprovM�or ns�m � n Uato damages,costs,expenses,or causes o�action that may arise <br /> because ol installation and mainir,nance of Uie improvemenl or <br /> {� other righ�-of-way use here�o applied�or and lurther agrees to <br /> /7/l/��j�—��- U� remove same upon notice from the City and to replace public <br /> U pr ,rt amaged thereby. <br /> FINALINSPECTION �� y 0� <br /> AppmvedasCunstmcied Date �-�/�q7/f� _ `_ <br /> 6 ff�,�/��1� <br /> i ure of Applicanl Date <br /> L <br /> WORK AUTHORIZED BY THIS PERId1T MUST BE STARiED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND 7HEREAFTER IS TO 9E DILIGENTLY PURSUED <br /> TO CO�dPLETION THIS P[RMIT IdAV BE CANCELLED OY THE CIN UPON ANY STOPPAGE OF'NOfiN ON h115 PFOJECT OVER 90 DAYS DURATION. <br /> a <br />