Laserfiche WebLink
Date Ol/1�/91 o�e���wo,..P..�,�, 9�� <br /> Application For e�ao.oen• <br /> PUBLIC VNORKS PEfiMIT '°°��°W°^�°°° <br /> Tolal Fee S <br /> A I ^I/ �eti AOG�Fee PaiG S <br /> /1 /� I� �A 1 'f"' B�IancaOue S a��a <br /> Print or Type Only � vv � v <br /> p� , rn ��- CQ�.t c e l�� /D-12-�1�' <br /> Michael Meehan/Joel Bearce 1030 Hoyt Everett. Wa. 98201 339-1337 <br /> Owner MaiNng Address City Zip Phone <br /> Same <br /> Applicant Mailing Address City Zip P e <br /> Describe Proposed Work �onstruct curb cut to allow for off street arkin . <br /> W <br /> ProjectAddress�ifknown) 1030 Hoyt Everett, 41a. L <br /> r <br /> Attach lour(4)copies ot pians lor proposed work•Draw to scale and note the following applicable: � <br /> • Property Lines . • Centerlin of street /^ <br /> • Outline and dimensions of all existing and • Indicat North V� <br /> proposed structures on the lot • Sho any proposed grading changes <br /> • Existing and proposed utilities • S w measurements � <br /> DO NOT WRITE BELO THIS LINE O <br /> PERMiTCONDITIONS <br /> 7.All calls for inspection shell be made 24 hrs.in advan -phone 259-8810. ^ <br /> 2.All work shall be peAormed in accordance with thls ermit and cunent City of Everett Design and Construction ♦ <br /> Slandards and Specifications. <br /> 3.Call Location Underground Sarvice 4B hrs.bef e you dig.TOLL FREE NUMBER 1-$OO•424-5SSS. � <br /> T ,,ee C✓!. .lo �a'VcdQt� �^- �0 3r-�a2� C� <br /> "� . .Z�o o�l/-,S�its�7� P�,�c;,� .S,f,ac� O <br /> ,�f '7�z�caa` �e .�zf-�,QG.��cvc.cQu _ZaT.o-v�G ,�o �-CiJ-�' � <br /> u.v��Gi P� -��-6y-s�u ox.��� �u•�o� . N <br /> ;r,,,o a�_.sL pan/u� sp�. wor.�! �2e ��,�,�.� �. O <br /> � ..,�., .s./o�.f,aPat�� <br /> �' h�ez' �� �,��� ��.�r fz �w a <br /> ��,��. <<.tai,�� �.Sr� ea.,�/ �"�24�� <br /> / ACKNOWLEDGEMENT OF CONDITIONS <br /> i The undersigned owner/appGcant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims lor damages, costa <br /> C-%i�/i i�� / /�/ e.penses. or causes of action that maY arise because of installation <br /> j��� o��? and mainlenance of the improvement or other right•ohway use hereto <br /> applied for and further agrees to remove same upon notice Irom the <br /> Approved for Constructio aie Cily and to replace public property damageA thereby. <br /> FINAL INSPECTION Date � �' ^"'""— J���-`L� <br /> Approved as Constructed Signature of Appiicant Date <br /> everett PUBLICWORKSOEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WiTHIN <br /> � 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett..wA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Phone:259�8810 CANCE�LED BY THE CITY UPON AIJY STOPPAGE OF WORK ON THIS <br /> PAOJE.,T OVEa 90 DAYS DURATION. <br />