Laserfiche WebLink
---_ -_., --�-_ ..__ - - - _ _ . _ . -- - - <br /> t. .�1�� . , c.H:• :r'S . . . ��, . . . `�.^f rr "" .'". . . '.�'.'. . .. .. <br /> ' 1, .!./ S � ' .. . . .. . . _ <br /> ��/�{-� //�� 6 d� <br /> �8�8/�7�r��/G�6� `� � \ � Publ¢Worka Permil/ - <br /> / <br /> Applkellon Fof Biea.oeo�-• <br /> PUBLIC WORKS PERMIT ��"���WorkaFee <br /> Tolel F!e s <br /> I.e�t Appl Fee P <br /> B�lance s <br /> Print or Type Only <br /> Ownet MeiNng Address City Zip P�one <br /> -t�wt-,� d S a✓ i��• �3oK I (a� �.�6�- 4�Zd� _ <br /> Applicant Mafling Address City Zip Phone <br /> Oescribe ProPosed Work ��C"/�70 b �C��• �u N�� �`i 'T��G-• <br /> � � �/l �'O�C'� / �C � 7�.-cJ � <br /> � Prqect Address(If known) � �, �Z � �� <br /> ��AM�Ch lou��4)copies ot plana br proposed work-Draw to scele and note the lollowing as applicable: � <br /> • Property Linea � Centeriine of street � <br /> •Outlins�nd dimeneione of all existing and • Indicate North <br /> prOposed structuroa on the lot • Show any proposed greding changes <br /> • Existinp and proposeG utilitiee • Show measurements � <br /> ��O NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. All c�lls lo�inepection ahall be made 24 hra in ativance-phone 259•881$. � <br /> 2. All work ahell be peAormed in eccordance with this permit and current City ol Everett Design and Construction <br /> Stenderds and Specificetions <br /> 3. Cell Location UndergrounA Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•SS85. � <br /> yr'vr✓T•��9c r.;,C ��:S�v�s i.�c c '�� � O <br /> ��f��/�c To .S/�rG����� �' �,��� G�-.-%,_�� <br /> � <br /> �S T,E'�f-- � <br /> . O <br /> a <br /> IACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> � less the City of Eve�ett Irom any and all claims for damages. costa <br /> .�I ezpenses, or causes of action ihat may arise because of install:.tion <br /> / /���j�� - %/7�6 and maintenance ol the improvement or other righl•ohwey use hereto <br /> � � 4' � applied lor and further agrees to remove same upon notice irom ihe <br /> , Appro/ for Construction Date Ciry and to replace public property damaged thereby. <br /> I FINAL INSPECTION � Date n 7"''� � - � <br /> I Approved as Consirucled Signature of Applicanl Date <br /> everett 'UBUC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT IdUST BE STARTED WITHIN <br /> I � 3^00 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98207 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone: 259�8815 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> i <br /> PROJECT OVER 90 DAYS DURATION. <br />