|
���/�
<br />/ �/�J
<br />�N�
<br />PUB�ic w'ORKS
<br />PERMIT
<br />PUBLIC WOflKS DEPARTMENT
<br />3200 Cedar Sireet
<br />Everett, WA 98201
<br />(425) 257•0810
<br />NfJUNWHh55:.�' ' � � . ,
<br />PHONE:
<br />TAX PARCEL I.O.N
<br />OESCRIPTIONOF ,
<br />PROPOSED WORK: ' � �
<br />PERMIT CONDITIONS
<br />Date .:
<br />Public Works Permit k- ' � �. . .-
<br />Building Permit # ' ' .
<br />Planning Reference+Y
<br />PuGic Works Feo S -
<br />Guerentee $
<br />_ J
<br />/
<br />_ --�� APR G 5
<br />TO POSTING ....................
<br />�.�.s-1��- ��� �>
<br />PHONE: , , - -
<br />PRQIECTADDRE£;:
<br />. . . r.nr-' .. c . _ ..-
<br />Q?S� z/o — y��s�
<br />> ��/`�
<br />1. All calls for inspecti�n shail be made 24 hours in advance.
<br />2. All work shall be paAormed in accordance with lhis permil and current City of Everett Design and Construction
<br />Standards and Specifications.
<br />3. Call Location Ui derground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555
<br />._:'�..�-.. -_. ,.::�:�_.._ __ .... �.iL:�:.:�i,i. . -Y� pr�;1:i�-�t _ �'.. ---'
<br />.in;3cai1 aroai��n ,_nntr��i mea�uce: p.�r City nf[.Ev?cott Stand.3ror� f�,e ,�..,,.
<br />. ��?rtInYG PY'O�1P❑ rbRtL'UZ lllE'B3UC<.": UF�OII CbfO�Q@t100 b! the yC{�]FCt Fq:�ii_.f . (•1�.�,
<br />, ;:L^V31 nr rftB j)-3Ctt�1?.
<br />• F1�� µY'�.?V'3rA�� tl3LuCi�i1 :CO'� E�?UR�]3t10:,�� 91�j4V3Zif dR�j ��ClY?V3j'9 :7�181� b� Il3LLi�`•:: '
<br />;pFn��veci, p-rcmit:ted site. )io vasting �,C matec:ial. is �ilou�d on this boildinq ;,
<br />. lJ0 �1C^� ^,U�, rork,s nr deL7Ci� ti1 h� Y,�aCiC�?/j nI1tQ Cp3�jVd�'. "
<br />. 17r. buiZ'_ing rat�rials *:� t�a stack.=; on aid=walks and sidewal};s to b=_ !:=Fc : _,
<br />_. _, _�. ___ ; =i�.;`.._-.. *[ave:.
<br />, , ... . ,:,:. . .. ..
<br />. � _�� � . ,,:, _ . . .
<br />. _ _ __ , -':-`-, --.._ � _ . _ �C6
<br />. , . . . , .. .. �. . . , :�i� , i i r�. , . . , . . -, . , , . ..
<br />a
<br />FINALINSPEI
<br />Approvetl as
<br />�N
<br />3-zo-
<br />Datn
<br />ACKNOWLEDGEMENT OF CONDITIONS
<br />The undersigned oN�nor/applicanl hereby agrees to hold and
<br />save hartnless Ihe Cify ol Evoratl irom any and all daims lor
<br />damages, costs, expenses, or causes ol action Ihat may arise
<br />because ol installation and maintenance ol the improvemenl or
<br />other right-ol•way use hereto applied for and further agrees to
<br />romove same upon notice Irom the City and to replace public
<br />property�ed Ihereby.
<br />-- — -�- �'-�-'7�'-,c''� —
<br />SignaNroolApplicanl Data
<br />WORK AUTHORIZED BY h11S PE(iM1117 h1UST BE STAR7ED WITNIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE D;LIGENTLY PURSUED
<br />TO COMPLE710N. THIS PERMIT MAY DE CANCELLED BY THE CI7V UPON ANY STOAPAGE OF WORK ON TMIS PRQIECT OVER 90 DAYS DURATION.
<br />EPIVP p,116) DATABAF.INC.
<br />
|