Laserfiche WebLink
Date��7190 n,����,�w�,,,��.,�:,.� . _`��_-��_�_ <br /> AppllWtion For o�an ocm •�Qf15d17 <br /> � � PUBLIC WOF�KS PERMIT ����,o,n�a����� S — -- <br /> � � �....,�,�„� �,,,.�•.,,:� s <br /> � � Z Prinl or TyPe Only F,.,�.��.�.o.�,. s .?O_� <br /> � .] � <br /> '° y H Ross & Judith Uttley 8519 Havier t9av Lberett 98208 353-6 46 <br /> � � � Owner M11;ulm9 Addre55 CiIY 7�p Phpne -- <br /> ro <br /> o� � � Owner (to be built by Everptt School Dist. Carpentry Class) <br /> �,~j � qpplicant MaiI;n9Address Ctly .�n Phonr <br /> M <br /> M <br /> y <br /> p.i OescribeProposedlNark New S;nqlr fam;l� rac;Ronro <br /> N <br /> N <br /> O N <br /> � � " W <br /> P�aiect Address(il known) XXXXX �ranA n.A �n 2� - vi"v n e� , c`.' � <br /> Attach lour(4)copies ol plans br proposed work� Draw to scale anA nom 1he lollowin9 as applicable � <br /> • Property Lines • Centerline ol sireet � <br /> • Outline anA dimensi0�s ol all existing and • Indicate North <br /> proposed structures on the lot • Show any propoSeA grading chanqes <br /> • Exisling antl proposed Wihties • Show measurements � <br /> � <br /> DO NOT WRITE BELOW THIS LINE � � <br /> PERMIT CONDITIONS IIl�OO2S�F1S <br /> 7.All calls for inspechon shali be made 2a hrs.in advance-phone 259•8810. ELDG f668.72 <br /> 2.All work shall be pedormed n acrordance with ihis permit and c�.�rrent City of Everett Desi�P�Constru�vr� � <br /> / � --'� Standards 3nd Specdications. <br /> � 3.Call Localion Underground Service ag hrs belore you dig.TOLL FREE NUMBER 1-800•�55.��� � <br /> C�. � /�or�f-�v�' ���un�ocifS S/,cCL �jc' Conncct��d fn �019 f20.00 <br /> i �� /�or�ses S.dc Seu�E;r-, IIA?ETi 5650.00 � <br /> ��� ) , � i!0.�0_0,p2,7945 <br /> . . .l 1/JS�n �� C//i✓c.'�..�rt/ Cc'f' P�r C / 7� S1�An Cl��i^[✓S $[1v'lK�� /7G�O.Ot1 � <br /> ��ptK cFf� �cf� c'F (wU fc /nSfa /C ' i('�i,rc✓�. �l�1 7�1�� f813.Q0 � <br /> � CHEp; t2326.22 <br /> II��� �c-r�'�,- -�'f, c'o..-,�(�t� ly. <br /> � <br /> I���j a <br /> r <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> =1�1 The undersiyned owner/applicfnt hereby agrees�o hold antl save narm� <br /> iess ihe Cily ol Everelt Imm any and all claims lor tlama9es, r,osis. <br /> . expenses, or causes of action ihal may arise because ol installahon <br /> i � ����� �/ C and maintenance ot Ihe improvement or nther ric�ht�of�way use hereto <br /> � — ' T �pplied �of and �urlher agree5 �O femovC Same upOn nO�iCe �rom �he <br /> � Approvetl lor Construtli <br /> ' 1 1 /� / ate Cily and to replace pubiic properly damaged Ihereby. <br /> �'' �%�/�' 7-/�-y% <br /> � -' G <br /> PINAL INSP_CTION Uate <br /> ApProvec as Conslmcled Signatu/r� 1 Applicant ^ Date ^ <br /> evereft PUBLIC WORKS DEPARTIdENT W�RW THORIZED BV THIS PERMI7 MUST BE STARTED WITHIN <br /> O 3200CedarSireet 1B0 f� VS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evereil,WA 9d201 BE DILIGENTLV PURSUED TO COAIPLETION. THIS PERMIT t.7AV B[ <br /> Phone:259�8810 CANCELIED BY THE CITV UPON ANV STOPPA6E OF WORK ON THIS <br /> PqOJEC'OVEH 90 �AYS DURATION. <br />