Laserfiche WebLink
P����Y ���■v� Date p5/.::./Lfiu.S � <br /> Public Works Permi�a;"'i�i 0 J U 5-p.t U <br /> PE R M I T Building Permit u <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Stree� <br /> Evmetl,WA 98201 PubliC WotkS Frc 5 �?�+�- - -'�� <br /> (425)257-8810 <br /> Guarantcc S <br /> OWNERNAM� . . APPLICANTNAPAE <br /> ANDADDRESA>�t•�`� �•-.��iIJ 1: ANDAODRESS: <br /> �1:1�/ (,:�U�7C: 11��C. <br /> EVEkETT WA ::Oi <br /> PHONE: ,�,jr��14F13�S PHONE: <br /> TA%PARCELI.O.N PROJECTAD�RESS. <br /> u0E0190ii0�ii�3UU dul7 F:i:�iMEf: .",`:c <br /> DESCRIPTION OF _ . ., <br /> PROPOSEDWORK:I?�I'LA�. F. �_��CUIiLLII`�Ci I?U�-'b: . 1N T•.7,�:c:'i� :rli TiEJ'A�I9IiV1� WALL <br /> P+i <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be nade 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be per(ormed in accordance with this permit and curreN Ciry o( Everett Design and Construclion <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> `� �� b�c,a�ti�.'oh ih -fhe i,e-ransfrdL�/oh aF ��is roc�EErf,� � <br /> {il/�i I^C�QqnCJ�S 7o BR��'�'"� NOC.c'S/�/n4 � TpVhO�Q �iOh � <br /> J � M <br /> QI^ dr4ina�2 WiC� feq!/rre 2 C�eSiJcn d}/ 2 G(✓/(. W <br /> _� <br /> Er��[ /nGCr �iCzn52a� �h f/�c Sf�e o�' �J�i S<ii��foh � <br /> 7 <br /> OS-�B-02 .1;47F'hi Z <br /> it 02050�0 O <br /> OTHER 40.00 <br /> l-OTAL 40.OD <br /> C:i-iEl: 4� <br /> A OM8091 O <br /> a <br /> ACKNOWLEDGEMFNT OF CONDITIONS <br /> �./ /1 � �/��/ The undersigned owncr/applicant hereby agrees to hold and <br /> .� %� J �. save harmless ihe City ol Evered Irom any and all claims for <br /> pp �ed lor Co�ucnon � [ ee-7-- damages,costs,ezpenses,or causes ol action that may arise <br /> �; because o�installation and maintenance of ihe impmvement or <br /> j .�% c olher righ4obway use herr.to applied lor and futlher agrees to <br /> ��:%��� c,�-/)��eJ Z remove same upon notice Irom the City and to replace public <br /> FINAL INSPECTION pmperty d3ma�d thcreby. <br /> Appmved as Constmcted Date j �� <br /> ____. � ��o_� <br /> Si a u �o p li am Da <br /> Nf017K AUTHORIZED BY TMI£PERMIT MUST f3E STARTED\NITHIN 180 DAY$OF DA'E PERMIT IS ISSUED A T�O BE DILIGENTLV PURSUEU <br /> TO COMPLETION.THIS PERMIT IdAY BE CANCELLED�Y :E CITY UPONANY STOrf'AGE OF WORK ON THIS PROJECT OVEFi 90 DAVS OURATION. <br />