Laserfiche WebLink
w/ �h/G 7G �-G ( 3 � <br />PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARiMENT <br />3200 Cedar Street <br />EveretL WA 98201 <br />(425) 257-8810 <br />OWNERN�M[ <br />�NDADDRESS: <br />PHONE: <br />7A% PARCEL I.D. a <br />DESCRIPTIOt! OF <br />PROPOSEDWORK: , . ,.,. �� <br />i I � <br />,,. � � ., , <br />P�RMIT CONDITIONS <br />,�a .t <br />i <br />Date � ' �� � - <br />Public Works Permi� p <br />Building Permil # <br />Planninq Reterence # <br />Public Works Fee $,� i <br />Guarantee 5 <br />APPUCANTNAME <br />ANDADDRESS: � �'���'S� `�� "� <br />�r { <br />��oi' n� .i ��: t �Uc'. l <br />c'i._ � i•1� � f, <br />PHONE: ; � -��, r -�.� <br />: i': . i 3 � �L' <br />r <br />IPROJECTAODRESS:/�GG !7I���Jeil �f�����;y��Dwi.:'i�. <br />� . . , � � ',. . . .. '(r ��yi`l:� S'� r��l.�p/C �'"�::�i7� �,n�,-' <br />, ' _. ... :t, r,�, �. . , 1' . F..� t..• �'�t ;�'•'.: It'. <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifi�ations. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800-424-5555 <br />! � . . !. . , , i �' .. . f i �. .. � ��� � � .. . , i"• . ' - �, <br />�i ij i�.r�'�y in�,•� j��r�e�����e. �if/}}//��A,a��z.�� :�/`r <br />-�` ` �%! �, � �Vi�.rT.'(!I �a.���'Grclr. ! <br />; � ' i! /. % ; � 1l�r /. — <br />'; ..' . <br />i, - <br />pppr etl or Consimcuon Dalo � <br />�� 3 -v <br />FINAL INS C ON <br />Approved as Construc�ed Dale <br />/ j J <br />ti.l�. P �t)u;r � . ,-. . __ <br />ACKNOWLEDGEMEN? OF CONDITIONS <br />W` <br />r <br />N <br />O <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned ownorlapplicant hereby agrees to hold and <br />save harmless Ihe City of Everett Irom any and all claims lor <br />dama9es, costs, eapenses, or causes ol action Ihat may arise <br />because ol installation and mainlenance of ihe improvement or <br />other righl-oFway use hereto applied lor and further agrees to <br />remove same upon notice Irom the City and to replace public <br />properry damaged thereby. <br />ol Applicant <br />Da�e <br />WOIiK AUTHORIZ[D BY THIS PERh11T MUST BE STARTED WITHIN 190 DAYS OF DATE PERMIT IS ISSUF.D AND THEREAFTER IS TO BE DIUGENTLY PURSUED <br />TO C0IJPLE710N. THIS PERMIT MAY DE CANCELLED BV THE CITV UPON ANY STOPPAGE OF WORK ON THIS PRQ1EC70VEP 9U UAYS DURATION. <br />