Laserfiche WebLink
. ��[a f,J• ( U lS t `� <br /> ' J9�8 ' 1;:G::nf.' <br /> PUB�IC WORKS P�a�wo�s��,nx -�,.�:: � . . . :,: <br /> PERM IT Building Pertnif X <br /> PUBLIC WOFKS DEPARTMENT Planning Reference N <br /> 3200 Cedar Sireet <br /> Everen,WA98201 public Works Fee$ . <br /> (425)257-BB10 �� " ' <br /> Guarantee$ <br /> OWNEP NAME . . . . . ._ . . APPLICANT NAME 0�� <br /> ANDADDRESS: �-��,-..��;.. :,-! ANDADDRESS: D <br /> . � 1?�=F.. . _ . . .. _. <br /> - .-:�r._r•,. :I:. '��'' LJ <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.M PRQIECTADDRE55: <br /> bESCPIPTION OF � <br /> VROPOSED WORK: �. ''. .' _ . ... . � 1'dY3���;i:Fi1i'7T'_ Sc.":� >�-�' . <br /> PERMIT CONDITIONS <br /> 1. AI�calls(or inspection shall be made 24 hours in advance. <br /> 2. All work shall be poriormed in accordance with this permit and currenl City oi Everett Design and Construction <br /> Standards and Specifications. �� I <br /> 3. Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER t-800-42M5555 Y.I <br /> L <br /> _. . . ... . . ... ...... - . VI <br /> _ W <br /> _ __ ;c: a_' Q <br /> :_t ;; �:; � <br /> • <br /> Z <br /> O <br /> - - � V/�I <br /> _ : . _ - �/ <br /> . a <br /> ACKNOWLEDGEMFNT OF CONDITIONS <br /> The undersigneA ownedeppU�:snt hereby egreas to hoM and <br /> - �'�" " � save hartnleas the City o(Everett irom eny anA all claims for <br /> � �'r� ��--,� ,i i�—�----%�%�- j -t � 7 dameges,costs,expenses,or causes of adbn Met mey erise <br /> •�Appmved mr Construdion Dato pecause of installaBon end maintenence ot the improvemenl or <br /> other righlot-wey use hereto applied for and futher egrees to <br /> remove same upon notice Irom the Ciry end to replace public <br /> FINAL INSPEC710N property demeged lhereby. <br /> Approved as Conslrucletl Deta � <br /> _.. -... .. .� 'y <br /> Siq�ature d Applicant Date <br /> O COMPLETION.TH 5 P RIMIT MAY E CANCELLE�BY THE CITY�UPON ANY�STOPPAGE OF WORKUON TIiIS RQIE T OVER 90 DAYS IDUMT�IONY PURSUED <br /> WT�1BlW.MC. <br /> EPWP(7N61 , <br />