Laserfiche WebLink
Pue�ic woRKs <br />PERMIT <br />PUOLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Evcretl, WA98201 <br />(425) 257-8810 <br />IIYNER NAME B�i� ����.� <br />�NDADDRESS <br />3319 W MUtCIL1E0 BLVD <br />EVERETT fi?� 98203 <br />PHONE� Q�S3SSZQi2 <br />PHONE: <br />Date OS/28/2003 <br />Pub�ic works Permit a Pq0305-034 <br />Building Permi� M <br />Planning Reference a <br />Public Works Fee $ $2$ .00 <br />Guaramee $ <br />TA%PARCELI.�.a 00571�OOb�Ob00 IPROJECTADDRESS: 331p y NUKILIEO SLVD <br />DESCRIPTIONOF Connect rooftop dovn sFauts to ditch on ilave Dr. <br />PROPOSED N'ORK: <br />PERMIT COIJDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with Ihis permil and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Lxation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024-5555 <br />4. Install dcain line 10' off of west property line along edge uf City easeaent. <br />5. No uthee wck to be dune �an lut vithuut pcioe appcoval. <br />/�:�/ %C2>'lv.�✓ <br />Apprwetl br nslruc � - / Date <br />�'"%�- -1 P�i <br />FINAL INSPECTION <br />Appwved as Construcle0 Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />W` <br />r <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />H <br />N <br />O <br />a <br />The undersigned owner/applicant hereby agrees to huld and <br />save harmless tho Ciry of Everelt Imm any and all daims for <br />damages, costs, expenses, or causes of action that may arise <br />becauso ol installalion and maiNenanco oi the impmvement or <br />othcr right•oi-way use hereto appliod lor and further agroes to <br />remove same upon notice Irom the Ciry antl to replace public <br />pro rty damagetl thereby. � <br />' '�� ✓�'����SF� �i :i'�`! •),. _ <br />Signalureo ppl m Daie <br />WOHH l.Ut110HIZfD OY tHIS PERMI71dU;T �F STnRTED tVRHIN t�0 DAYS OF DA7E PERMIT IS ISSU[D AND 7HEREAFTER IS TO BE DILIGENTLV PURSUED <br />i0 CO�df°LCn�rt; 7H15 P[F"dli b1AV 13G CANf.[u.l_D (iY iHf. CITV UPON ANY STOPPAG[ OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br />