Laserfiche WebLink
Date . weu�we,..r..Tn. <br /> APPIiCat . Pof .. <br /> eaa o•o�• <br /> PUBLIC WORKS PERMIT ^�°:;:°:�`" s <br /> L�u�ool Fo Pua f <br /> e.�.��.o�. i <br /> Print or Type Only <br /> Ala� �a�°p xo: c 40572 <br /> P�11c ate• <br /> ab Ad�ner: 40�1PECKS pR SEPA P�one � <br /> Ownar proPOeT�enant� SHITH CHRIS <br /> 0200SF pDDNrk' SINCLE FAMILY RESIp <br /> AOPlicant OFFICE ge2 REROpp� REPpIR pORCH ENCE P�ona <br /> Deacribe Proposetl Work _ APPAOVED FOR pE_�--JOB SET <br /> DATE � �_ BY <br /> � <br /> W <br /> Pro�ect Atltlreaa pl known) � <br /> Allech lour�4)copias ol plans lor propased work-Draw to scale and note I�e lollowing as appliCaEle: � <br /> • Propatly Llnes •Cenletline ol slreet /A <br /> •Outline antl dimensions ol all exisling and •Intlicate Nort� V♦ <br /> proDosad atructurea on I�e lot •Show eny proposetl gratlinB��anBes <br /> •Existinp and proposetl utllities •Show measurements � <br /> DO NOT WRITE BELOW TMIS LINE O <br /> PERMIT CONDITIONS <br /> t.All calls lor Inspeclbn shell ba ma6a 24 hre.in advance•phone 259�8810. � <br /> 2.All work s�all be peAormed In accor0ence wit�thls permit and curtent Cily ol Everett DesiB�and Conatruction <br /> Standerds entl Specllica�ions <br /> 3.CaIILaetlonUnOerproundService48hrsbeloreyoudlg.TOLLFREENUMBEPI•800�424•5555. � <br /> O <br /> PUBLIC WORKS PERMIT � <br /> NOyREOUIRED 'w <br /> 0Y �Fi V, <br /> onTe 5-��— O <br /> a <br /> ACKNOWLEDGEMENT OF CON�ITIONS <br /> The unCersignetl owner/epplicant here0y aBrces lo holtl antl Save�arm- <br /> less Ihe Lily of Everetl Irom any an0 all claims lor dama0e&cost; <br /> oxpenses.or causes ol acllon Ihal may arise hecausa ol Instelialion <br /> and malntenanco ot Ihe improvemenl or ather rig�t�ol�way uso�e�elo <br /> epPlietl lor anE lurl�er ABrees lo rert�uve same upan notite I�om I�e <br /> Arprovetl lor Consimction �ate Lity and lo rep�ace DuCIiC prooerly dema0ed Ihereby. <br /> FINAL INSPECTION Oale <br /> Approved as ConStiuCted Signatu�e ol Applicant Dale <br /> � PUBLIC WORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF OATE PERMIT IS ISSUF.D ANO THEREAFTER IS TO <br /> Evarel4 WA76401 BE DILIGENTLV PURSUED TO COMPLETION.THIS PERMIT MAY liE <br /> P�one:Y59�B010 CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WORK ON tH1S <br /> PROJECTOVER 90 DAVS DURATION. <br />