Laserfiche WebLink
puB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Evcrotl, WA 98201 <br />(425) 257-8810 <br />)1YNER NAAIE <br />�NDADDRESS: TECCEI1Cf B[03�UE <br />1G204 Montana Rd <br />EVERE'IT oA 98204 <br />PHONE: ZQ6b195�21) <br />TA%PARCELI.D.• <br />APPLICANT NAME <br />4NDADDRESS: <br />PHONE: <br />PROPOSEDWORK: F111 in back yard acea to level out <br />��oi" -fo exc�c6 /� �r�. <br />PERMIT CONDITIONS <br />Dnta <br />9/29/2003 ; <br />Public Works Pormit k pp0309-025 <br />Building Permit R <br />Planning Rolorence N <br />Public Works Fee $ 52�. 50 <br />Guarantee $ <br />Rd <br />1. All calls lor inspection shal� be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perfermed in accordance with this permit and current Cily of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-804•42�. �5555 <br />4. Feep city stceets clean at all times during construction. <br />`. Provide eroeiun contcol at dieected by the public wckn ins�ctuc. <br />Dk�a <br />h: <br />%�U�� � �fZ4��� <br />WppmvM lor onstruclion a�� <br />�F(�� � � - �v-�3 <br />FINAL INSPECTION <br />ApprovM as ConslruclCd Dala <br />09-24-03 2:52PM <br />M 030904c^ <br />PLAN CK 25.19 <br />M 0309025 <br />OTHES 2^c.50 <br />TOTAL 47.69 <br />CHEK <br />A OM4650 <br />ACKtJOWLEDGEMENT OF CONDITIONS <br />`W <br />r <br />V/ <br />W <br />� <br />� <br />Z <br />4739 <br />�"� <br />� <br />� <br />a <br />The undarsigned owneAappiicant heroby agrees to Mld and <br />save harmless tho Ciry ol Everott irom any and all claims lor <br />damages, cosls, expenses, or causes of action that may arise <br />because ol installation and rnaintenance ol the improvemenl or <br />other righ4obway use hereto applied lor and lurthe� agrees to <br />remove same upon notice Ir the Ciry and to replace public <br />pr arty tla aged ther b. . � <br />�? - ���� <br />/ Signat e ol Applicant Date <br />WOfiN AUTNORIZED 8V THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT iS ISSUED AND THEREAFfER IS TO BE DILIGENTI.Y PURSUED <br />TO COMPLETION. THIS PEFMIT MAY DE CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />� <br />