Laserfiche WebLink
_ �::�. <br /> i: � <br /> . �1 <br /> 1 <br /> • W � � <br /> �� � ' . .. � ' � <br /> � >we . . . . � . . . _ . 4 <br /> � +�'��`.�"�fcqj,v,. � <br /> ; 1i�� .,, r-` .:: �� . <br /> M� <br /> R�� Date 1-14-92 -' TO POSTING � �-a� ,�,,,�„,�,P�,m,,. � � / n � � � <br /> � � ' BIEp Dept• 92/35336 <br /> � ApplicAlion For <br /> �� PUBLIC WORKS PERMIT PuDtot�FeoFee s — i <br /> ��� leb�00�Fee Pe�U S_ <br /> Q� C� � r � r,� � '.�� BalenceDue 5 <br /> �i Print or Type Only < < ,:; r; � <br /> L�y� � tir y� C7 r � � � i ii <br /> C� � M Df C <br /> p` f !O <br /> H H �. ., �� . -, ", -. ' M <br /> �M Hanabrook Inc E. 4020 Main 9Dokkee ii11 99202 (509�5,�4-0644 d <br /> �y(~p � Owner MEfhdg PCtlress _ ', �' � Ci� l� -.- Zip Phone I <br /> a � � � .. ,; I <br /> �Wy� � � ,_ �. � , � i . :�, <br /> Owner � :� �� , ' . <br /> H O� Applicant Mailing Adtlress City Zip P�one � - ,I <br /> DescriGe Proposetl Work new SFR LOT 33 W � <br /> � <br /> ', <br /> - W <br /> Project Addre�s lii known� �Q�� M E(Z.1 1�1/�1�1 A�.�C � � <br /> I <br /> Attach four(4)copies�i plans lor proposed work- Draw to s�ale antl note ihe lollowing as applicable: ! <br /> • PmDerty Lines • Centerline oi streel ♦A <br /> • Outline antl dimensions of all ex�sUng snd • �ntlicate North y� <br /> proposed 6truCW res on the lot • ShOw any proposed prading changes ' <br /> _, • Existing end proposed utilitiEs • Show measurements � '. <br /> ���� DO NOT WRITE BEL'JW iH15 LINE O � <br /> '; j i PERMITCONDITIONS <br /> 1 1 All calls for inspectlon shall lx made 24 hrs in advance-pY one 259•8810. � i <br /> C�, 2 Ail work shell be peAormed in accordance with this permit and current City of Everett Desian and Construclion <br /> Stantlerds and Specilicallons. <br /> 3.Catl Locatlon Underground Servir.e 48 hrs.betore ycu dig.TOLL FREE NUMBER 1-800-424-5555. � <br /> i . 4 . Inetall rork conetrur_tion entrance behi.nd drivewav ae per r_itv O <br /> stanrlard 9208 and erosion control as direrted b,y Publir_ Worke <br /> � ��' ' Inapector. <br /> .'i. Keep city rttreets c].ea.n aY, a]-] tim=e � � <br /> 6. Cvrb �utter and �idewalk in the plat are new and undamagad. <br /> il �1� anv damaee thereto shall be replar.ed at thP discret.ion of thP /_ <br /> Publi .r. Works Inspector. V, <br /> 7. Anv r_hange in the driveway r_uY, muAt ba apprnved hy the Pvblic O <br /> ' WnrkA InApector. <br /> 8. Ti�htline al1 roof, yard and driveway draina to storm drain � <br /> i `��j , st,ifba at bacl: ei�ie of ai.dewal.k. <br /> i <br /> "�= 9. Ad,ivst. waY.er Uor,ea to �rade at end of constriiction. <br /> 10. Driv�waya ahal.l he completely curad bef�re driving cn thrm. <br /> I ACKNOWLEDGEMENT OF COND�TIONS <br /> ( � �� The�ndersigned owner/applicant hereby agrees to hold and save harm- <br /> � le�s ;he City ol Everelt Oum any and all claims for damages, costs. <br /> � expenses, or causes of aciion Ihat may arise because ol installation <br /> +�( � '!1/1 C-� l J I �� � and ^�aintenance of ihe improvement or other rigM-of�way use hereto <br /> � � apPlied iur and �urther agrees to remnve same upon notice Irom the <br /> Approved�o�Conslr lion /. Date City and Io replace public proper�y damaged Ihereby. <br /> Y ��(%�/_--, /_ P--"S L �... <br /> Ln �/ <br /> FINAL INSPECTION Date 4^'��L � � <br /> Approved as Constructed Signature ot Applicant Date . <br /> � PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMI? MUST BE STARTED WITHIN � <br /> 3200CedarStree� 180 �.4�5 OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA98201 �E DIUGE��TLY PURSUED TO COMPLETION. THIS P[RMIT MAY BE <br /> Phone:259-8810 CANCEL�`D BY THE CITV UPON AIJY STOPPAGE GF WORK ON iH15 <br /> PROJ[CT OVflR 90 DAYS DURATION. <br />