Laserfiche WebLink
/ <br /> , PUBLIC WORKS Date �`�������5 <br /> �W0512-036 <br /> Public Works Permit p51�-041 <br /> PE R M 1 T Building Permit# <br /> PUBLI„WORKS DEPARTMENT Planning Relerence a <br /> .200 Cedai Slreet ��5 i�� <br /> E_veretL WF.98207 Public Works Fee 5 <br /> �aZs�Z9�.�t�(�'�"IIII/'1 `�Cr z �. Z��6 Guarantee 5 <br /> �tY'L <br /> OWNER IJA " " "' APPLICANT NA • <br /> ANDADDR IS I77T�3 AVE NE �NDADDR[S5: <br /> stu�xoriish wn Aa2�o <br /> 9252180910 PHONL: <br /> PHONE: <br /> TAX PARGEL I.D.h " ` ' ' PROJECT ADDRESB�. = . SDIAN AVE XLOT 1 <br /> NEW Ii00SE <br /> D[SCFIPTION OF <br /> PROPOS[D WORN: <br /> � � <br /> � _�ac'!-'�.�� ;.�,�1 <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 performed in accordance with ihis permi�and current City of Everett Design and Conslruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FflEE NUMBER 1-800-424-5555 � <br /> r <br /> ��/� <br /> �i. ��'_'P,I:a�:L •..�C,•:•��t• �..�iW[l:t;niir�.'. Y_�� tfU3 �jC.ili13�7� .'�SY�?I6 �)C.•Y1�1N� TnC Lf115 LpL. �/� <br /> �. In3t311 �[_�s'.on :•ont�t�l n:ea:�ui�s pai City oi Evece[t Stan•:lac•:Is for snsll parrels /� <br /> o. R�r�nv:. �eosic•n �.��ntecl m�asuc,r; up�:n c��m�;ler�on ��f tii� pe�>jer*. 1�eiec tc. final �y <br /> ap��,, _v:a] - � rh� ��etslt . � <br /> � <br /> Z <br /> . O <br /> - � ��� H <br /> :i v ar....�3,-�. <br /> � ,r.. � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � , The undersigned ownerlapplicant hereby agrees lo hold and <br /> � ,lti� ��.t�7y Q (J�' save harmless Ihe City ol Everetl Imm any and ail claims for <br /> Appm�ed lor Consuuc�ion m damages,cosls.erpenses,or cacses ol aclion Ihat may arise <br /> because of insWllalion and mainlenance ol Ihe improvement or <br /> /� �� other right-of�way u:,e hereto applied for and lurther agrees ro <br /> ��� ��_l� remove same upon notice Irom Ihe Ciry and to replace public <br /> L INSPECTION properry dama N <br /> Approved as Constmcled Date —�_ 7'�`z0� <br /> ic - os -�6 - - �� <br /> Signaluw ot Applic t Datd <br /> WORK AUTHORIZ[D�Y THIS FERh11T MUST BE STARTED WIiHIN 180�AYS OF DATE PERMIT IS ISSUED AND THEREAFTEfi IS TO BE DILIGF.NTLV PURSUED <br /> TO COC1PLEilON.THIS PLRI,IIT A1AY BE CPNCELLED 6V 7H[CITY UPON ANV SiOPPAGE Of WORK ON THIS PROJEC7 OVER 90 DAVS DURATION. <br />