Laserfiche WebLink
/� <br />� <br />TYFF OR PRINT ONLY <br />PUBLIC WORKS PERMIT <br />rueuc woncs o�wr�►rr <br />sxao cea.� su..� <br />Ewrett, WA o8201 258-le10 <br />Te �OSTfNG M� � <br />�_. <br />SSB11 7/1/97 � <br />auew� waw. w�mn. _�%�Z� / Ce <br />Bu1tWp P�rmlt A ,c,s t t <br />���.:�— _ <br />DAVID GARDNER 1524 M'1KILTEO BLVD EVERETT 98203 252-1884 <br />oNmx AYMkip Aadrsas CIIY i1P PNa» <br />APP�kant M�Nrq Addras CIIY 21P PIaM �� <br />Describe Proposed Work <br />PROJECT ADDRESS (H known) <br />Attach fcur (4) eopbs ot plane for p�opoaW work - praw to sals erM nots tM folbwlnq H�ppNcabN: ��♦•��� <br />'Property LJnea 'Outline and dirt�xulons of dl exbtNg �nd popossd atructuras on tlN bt �Existkq ut�9iC= <br />`Centerline ot atreet 'Indlcats North 'Show anY P�W�d P�q �� �Jlww CV • W <br />- - ci�a: �o.� <br />PERMIT CONDITIONS: �� �•� � <br />1. All calls for inspection ehall be made 24 hours in advance - phone 259-88�� � <br />2. All work shall be pertormed in accordance wkh this pertnit end curtent Cky of L-Yere�i�i and O <br />Construction Standards and SpecNicatbns. TOTAL 3913.68 <br />3. Call Locetion Underground Serv�e 48 hrs. before you dip. TOLL FREE NUMBER 1-a00-� .M <br />A OR1013 <br />�� `� i9Ht1�►^� 5v�rfGc�c �' roo� n.�a-F-F i� �+� • O <br />�: �Ks��� �,�„�t�� s��K�►. ��,,,, �,, � �, �g�r a <br />����� <br />„b ��a�eq�a ow�,.�,uw,� n�wy w�» eo naa .�a ,w. n.nM.e. <br />the Ciy of Ewrott fian arry end eN cN4ro fa dr�rp�s, coM0. �� w <br />cawes d actbn M�t mey arbs Wcwr of Irotdhtlon rW mWMawa� ot <br />the YnpiovertieM or oMx rlpht�aFwy us� hraloappY�dtorritl fiNrr �q� <br />to rwmvs seme upon notice han f�ty ro npUce p�tWc P�PMY <br />�� � /� �� _/ I_J <br />WOHK AUTHOfiIZED BY hIIS PERMIT MUST 8E STARTED WIT}iIN 180 DAYS !JF DA7E PERMR IS ISSUm AND THER5IFTER IS TO BE OILJOENiLY PlM4U� TO <br />COMPLEt10N. THIS PERMiT MAY BE CANCELLED BY TFIE CIiY UPON ANY STOPFNOE OF Np(Y( ON T1/g pROJEOT OVEFi p0 WY3 pURqqN, ' <br />