Laserfiche WebLink
r <br /> �� <br /> ....� <br /> I � � , <br /> � <br /> ��� <br /> ,•:+mr,. <br /> a � p ._. . ,�{ <br /> H��i Date 1 — 24 -9R � TO POSTING_�f�— �n�.�wo«.Pe,.,,,�. `�z�•� 1� / ( <br /> H n aiac o�oi • � 3338 <br /> ��� .. [Applica�ion For <br /> PUBLIC V�IORKS PERMI�' °°°"""°""°° S <br /> � � . � ,o,.�,�« -- <br /> � , �naa�noi.�ee aa�a s <br /> H �_ r �i ii�: � c. : BaienwCue + f <br /> ��� Print or Type Only .. , ,_' . ' .: ,.; �; ' <br /> �. � i . .� -' r� - � � <br /> � � ¢i <br /> QU r�i .n ..: �f. <br /> H � �t <br /> �y� _ �� ' - =,ic.t0 k I ti1 G � C �ZD M/�1 N F i>�L S PG KA.N���Jh. �92A2. <br /> n y Zi Phone � <br /> M H Owner n N�4'Ih9AtldhF9 r o i i �� � �OuY;� p 5C� I <br /> � � r� � � r i i-. r o i.. w ) 5�—O(c�/-} <br /> J J i.� r� � � -i p CL � <br /> Fy . t�l 3t Ci I: u _.� t :tt 1 r� <br /> �� " 1 <br /> � qppiicant Meilinp Address Gty ZIP Phor.e <br /> ��n H ouSE � i <br /> .. - � Oeacribe Proposed Work �( <br /> � <br /> I <br /> -- W i <br /> � �v �� ��� ��� . � � <br /> Proiect Address 1il known) � <br /> . Attach lour(4)copies of plens lor proposed work-Draw to scale and note the following as apPlica6!o: � i <br /> � • Property Lines • Centerline ol sfreet � � <br /> � • Outline and dimensions ol all existing and • Indicate North � <br /> proposed strudures on the lot • Show any proposed grading changes � <br /> • Ezisting end proposed utilities • Show measurements M ', <br /> W <br /> DO NOT WRITE BfLOW THIS LWE � ', <br /> i, <br /> ���� . PERMITCONDITIONS �, <br /> t.All cells lor inspection shall be made 24 hrs.in edvance-phone 259-8810. w <br /> � � . 2.All work shall be pr,dormed in accordance wilh this permit and cunent Ciry of Everett Design and Construction ♦ <br /> Standards and Speciflcetions. � <br /> 3.Call Location Underground�ervice 4B hrs.betore you tlig.TOLL FREE NUMBER 1-8�4245555. � I <br /> � . 4. Inst�11 ror_k conetruction entrance behind .jrivewav aR pPr r_itp <br /> � � atandard 1t208 �nd erosion r_ontro] ag direrted bv Puhlic Worka O �I <br /> 7n�PPr,tnr. <br /> � 5. Keep city streetF �^].ean at all times � <br /> �_ 6. Curh ��tter and eidewalk in tha plat are new end undamaged, <br /> env dam�ge thFrPto R}13�.I be rPpl:�ced �t the disrretion of the � <br /> � Puhlir, Worke in�pPct�r. <br /> 7. Anv chanee in the drivFw�v cvt must be apvrovNd bv the P��blic O <br /> I `t� Wnrkr, Tnt�ner_tar. <br /> R. Ti�htl.inP a] ] rnof, yai•d and dri.veway draine to aY,orm drain � <br /> etubs at back side of a3dewalk. <br /> A. Ad.iueY, water Uoxee t,o �rade aY ar.d oP conetructton. <br /> 1 70. DrivPwavfl 9hall be r�mpl�telv rtired before driving on thein. <br /> I /!��� FCKNOWLEDGEM[NT OF CONDITIONS <br /> +�w <br /> �1 The unde�signed owner/applican�he�eby 2grees to hold and save harm� <br /> �• , . � less the C�ty ol Lverelt Irom any and all claims for damages, costs. <br /> ��_±, expenses, or causes of adion that may arise because oi inslallation <br /> I , '; C r I � � 1 — �1 Z and mainlenance o1 the improvement or other righ4of�way use herelo <br /> �.. . �. ;�`,�.�:�1 I �`�CL, � applied lor and �urther agrees to remove same upon notice from the <br /> App��oied I��o�st�� �a�e City and to replace public property damaged thereby. <br /> _� <br /> 3-//- `J �— � ,� / Z__ <br /> Dale ���-Z c�""'�--�— . <br /> FINAI. iNSPECTION � i Date <br /> ApMoved as Consiructed Siynatu•e of Applicant : <br /> WORK ,:UTNORIZ[D BY 7HIS PERMIT MUST BE STARTED WITHIN <br /> �;��'iY PUBLICWORNSDEPARTMENT 18G DAYS OF DATE PGfiMli IS ISSU[D AND THEREAFTER IS TO . <br /> 3200CedarStreel pE DILIGENTLY PURSUHD TO COtdPLETION. THIS PERNIT MAV 8E <br /> Everetl.WF 38201 CANCELLED�Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:25B�8810 pRGJECT OVER 50 DAVS DURATION. <br />