Laserfiche WebLink
PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Ce�1ar Street <br />Everelt, WA 98201 <br />,425,25�.0� p0�T1NG <br />tt' OH <br />JWNERNAI�� b��X 47F c APP <br />Wh ?B:iiu <br />4'i,2907573 <br />PHONE: <br />9of�QZ5f1fIA <br />TAX PARCEL ID. ��H H�?USE <br />DESCRIPTION OF <br />PflOPOSED WOflK: <br />PERMIT CONDITIONS <br />ll/i91i��5 � <br />Date pG�05�1-�?4d <br />Public Works Permit A� �' 5'.1- !i 7� <br />Building Permit N <br />Planning Relerencc # . <br />S.: .dD <br />Public Works Fec 5 <br />Q 1 20 6 Guaranteo 5 <br />PHONE: <br />�c t '.. :7i'.t.�' <br />PflOJECTA00RES5: <br />�i T 6 i:F <br />-lh;rl�9 <br />1. All calls Icr inspection shall he made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with this permit and current Ciry of Everetl Design and Construction <br />Standards and Specifications. <br />3. Call Localion �Jnderground Service 48 hrs. before you di�. TQLL FREE NUMBER 1-800•424-5555 <br />9. ronnecr si�ie ;awer pa_e ri;y ;randacd. N!U , r�p;: oc pU•i <br />5, Ruoftop cimoff mu3t bu di::char�grd io a �oof ciovnspuut ini,ltLa.�o^ �ystem p?e �'ity <br />uf Eveeett Stecm Md1U131 �_-�.B.Z. Tilc• d�7�?COX1VdCE �ize teanch i:: �:.0' aide, �' de�9` <br />and 'GO' lon4• �ze attachment foc more d�tails. <br />� ;� �,;:., , <br />,, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant here6y agrees to hold and <br />save harmless Ihe City ol Evcrett Irom any antl all claims lor <br />damages. costs. expenses, or causes ol achon Ihal may arise <br />because ol ins�allation and maintenance ol the improvement or <br />ol r righl�obway use her plied for and luriher agrees to <br />ovo same upon ce Im fi City and to replace public <br />�openy mage ereb . <br />� —• � �,r� /c�// �3a [>S� <br />S�9naWm ol Applicant Dal6 � <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STAqiEU WI7HIN 1B0 DAVS OF DATE PEPtdIT IS ISSUED AND TNEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PEFMIT MAV BE C�NCELLED BV THE CITV UPON ANV STOPPAGE OF \NORK ON 7HIS PROJECT OVER 90 OAVS DURATION. <br />