Laserfiche WebLink
PUBLIC WORKS Date 04i2o;'2005 / <br /> PER�II�T °4-�7-�'GG5(k�CD> o�::� Pu6licWorksPermitM F41050d-052 <br /> 4E�'1 ��� 4 Building Permit q <br /> L'T 1 <br /> PUOLIC WORKS[�F��RT�Eb.�40 J` Planning Referencc a <br /> 3200 Ced�r�3tt.�1 <br /> Everclt,WA 98201 Public Works Fee 5 5'5.00 <br /> (425)257-8A)0 �ilCi S25.U0 <br /> TL 9��5.00 Guarantee 3 <br /> �r • <br /> OWNER N4MG WHEELEP. SANDRA L APPLICANT NA nW�F <br /> ANDADDRESS: 7130 ULYMPIC DFi ANDADDRESS� <br /> EVERETT WA ?820"? <br /> r�iorue 4253533636 PHONE: <br /> TAXPAFILEUD.M 003B�BOO�OO�OO PROJECIADORE55: �I30 6LYMFSC Dk <br /> O[SCRIPTION Of <br /> PROPOSED WORK'. <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspeclion shall be made 24 hours in advance � phone (425)257-8810 <br /> 2. All work shall be perlormed in accordance wilh Ihis permit and currenl City ol Everett Design and Conslruction <br /> Slandards and Specificalions. <br /> 3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> Q. GV II_�t F131'@ Ol'�=t t�l"e W3t8C 3E•Cl'1Ci-, � <br /> �/ <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> F— <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT C`F CONDITIONS <br /> ���� �/ ,( /� Thc undcrsigned ownedapplicant heieby agrees to nold and <br /> �`�✓ !?1Y'i `l"' Z p �i� sive harmless ihe Ciry of Evcrett irom any and all claims for <br /> n ,,• o io�Cunsvuceon naie damages.costs,ezpenses,or causes of action that may arise <br /> because of ins�allation and maintenance ol Ihe improvement or <br /> / other righbof�way use hereto appGed lor and lurther agrees to <br /> �f` �� �y �' _ remove same upon ootice irom ihe ity antl b replace public <br /> ��NAL INSPECTION ��_�' property da ged ther <br /> Appinvrd;�c Conslructed Ddix �� �� <br /> 1� <br /> �� � S `LJ C� ic�natur�1 p�nl Date <br /> WOFiK AUtHOfi17LU OY THIS PH(7A1IT MUST�6 STAPT[D 1YITNIN 180�AYS OP DATE PLRAIIT IS ISSUED AN�THEREAFTER IS TO BE DILIGENTLV PURSUED <br /> TO COh1PlE110N 7H15 PERMIT tdAV�G CANCELLLD�Y TNE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />