Laserfiche WebLink
,< . . , <br /> 'r.s; <br /> � <br /> �a <br /> "t <br /> LL a� _. .... . . . � { 7 weiK waw a.rmn• - <br /> , <br /> eau.o.o�• RS ��S/,1') <br /> ,,, <br /> Applic�tlon Fw , <br /> �� PUBLIC WORKS PERMIT "'T�:,»`" • <br /> UN MOL FN P�IE � <br /> MUrip Ow � <br /> {. <br /> • PHnt or 7yp�Ony ;'. <br /> '� L�vt an�l ' �3 o'Z�/ 0 1 (il/C.s�ern .TPo t��`143-�b oDp <br /> �,�,M� MNIInQ Address Clty Z�D <br /> �. �Plz.�� �i�nl C� P.O i�o�aa�sbl') ��ciY�' �i�GZio Fs7S-7�Pn�e ' <br /> Appllunt <br /> .~� OMeND�PropoMd WoA� ( <br /> ! <br /> I <br /> ! <br /> � W <br /> ; pro►�ct Addms(H known) � � <br /> � � <br /> ? Att�ch four(q copN�af P��^��or proposed work•Draw to acale end note the following es applicable: � <br /> . • P������� � • CeMerline of street <br /> � • OuNln��nd dim��slons of all exiallnp end • Indlcete NoAh <br /> prpppMd�huclurot on the lot • Show any proposed grading chanpes � <br /> • Exlatinp aM P�oD�d������lea • Show measurements <br /> DO N T WRI L W THI LINE O <br /> PERMITCONDITIONS � ( <br /> t. All ulb for Inepection ahall be made 24 hrs. in advance•phone 259•8815. <br /> p, ���y�rprk�h�ll bs performed In accorda�ce with this permit end current City ot Everett Design and Conatructlon <br /> Stmdud�md BMcitfcatlona � <br /> 3. GII Location Underqround Service 48 hrs before you dig.TOLL FREE NUMBER 1•800�424•5555. <br /> �/O �UBG/G W��� �E��iT O <br /> ,C'EqU�,�.� - � ���s ~ <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/epplican[hereby eprees to hold end save harm- <br /> less the City of Everett irom any and ell clalme tor damagea, coet4 <br /> expenses. or ceuaes of action ihet mey ariae becauae of Inalallatio� <br /> end meintenence of the improvement or other riBhhof•way uae hereto <br /> applfed tor and fuAher egreea to remove seme upon notice Irom the <br /> Approvnd for Conetruction Date Clty and to replece public property damapad thereby. <br /> FINAL�NSPECTION Dete Dete <br /> Approved es Constructsu Signeture of Appllcant <br /> everen PUBLIC WORKS DEPARTMENT <br /> BORDAYS OF DATE PERMIT ISESSUED AND HEREAFTER ISHTO <br /> � 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8815 PROJECT OVER 90 DAYS DURATION. <br />