Laserfiche WebLink
Date l!�— J �Jr <br />Aun�ir.atien For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />� A`iT�f S� n <br />O�vnei <br />w v� r-i�Es 3 iL <br />n'.i,.i,.. '�,:��a��s <br />� w e.SJ �StbM _�--�om ES 1_� b o'1 ba f'L. �,; <br />APphcant ,.•.,�n�-. irfU�..;.; __ _- <br />Z`i � / <br />P�ibb:lYG�15Pr;mila �_�� ' <br />ivnn oec� . _____ <br />nab6c Wmks Fue _'— _— _ <br />i0�el �pe 5 <br />Lrzstr,�rv: F.�. Pn:t 5 %�')� <br />Paia�n_C..,�� $ —�-�_ <br />LER; �J& EJ� 2� qY ZJ � �SS 3Si I <br />-- -. <br />�: <br />.�r. '_' Phnnq <br />�9'non'OS' �'1�'02b �7`I)_34Zj— <br />'.lrty 'iP ph.m„ -__. <br />Descn�eP�onos��dtvo�k _QQ_�i (�pR�(,--�-�� XJO� i�SNliri�-T PAUIN� To;j,Ken'cASe <br />^ - -- ----- — <br />--�X�S�i�J.�_ PR2K�N6_�QeR_ - -- ---- <br />Projett Address fd knowm _3�_�_�O_ �C_bC�GI� _FE(_4,b(Z .�V C_ _ EVEQ'�+"If <br />Atlaeh four (�11 coP�es of Pians to� a�nPosc�l �ro .- - D�ar. i,� -,� ��:i �-,r.t:� :i,�� �nqo;:u•��� �s aot;hra�no <br />• Property LineS O Cc�t��:l�ng nt girecl <br />• Outline ind dimen5ions of all exiyt�ng �nd • Icdic�t.t Nor�h <br />proPosoU slrucWres on Ihu lot • cp�i�,,,ii�v �:�o:�ps,•d i�r:rt!�n� <br />• E.is�ing anA propnsed uli!illes 7 r`.::.�-+��s <br />• Fh:i,a� r�.e�a.�,u�Pmen<.L <br />�v rvv� vvniit tiCLUbt �HIS LWE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. lii advance - phone 259•8810. <br />2. All work shall be perlormed in accordance with this permit and current City ol Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Serv�ce 48 hrs. before you dig. TOLL FREE NUMBER 1•800-Q24•5555. <br />�-� �-r Pe-✓ ������d �,�� �,� d� Ee�' G�/e��;s— <br />s ��'�iCl� �n�� c��. �cce=tl�5l� S�t/l �" Si��j��a�j,�= �s���r� <br />�I l� n� SE�. _3 S 3 <br />�, /��;�� �s ��� G;=�y S-f������ `�—s, Z <br />� -- �/z��lJ_ <br />D� <br />-n <br />FINAL INSPECTION p��� <br />Approved as ConstructcA <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceda� Street <br />Everett. WA 98201 <br />Phonc:259�8810 <br />ACKN01','I_EDGLP,IENT OF CONDITIONS <br />� <br />� <br />� <br />V♦ <br />O <br />a <br />1 h�..:., :,.�,r:ln��tl nv:nPriaPPliCant hpreUy agree5l0 hold anC Sa�o hann- <br />�, .;, ;h�� City or Everett Ircm any and ali claims for [fam.�ges. costs <br /><'�RPnsrs o� c2uses ol action in�t mqy anse because ol insiallaho�� <br />��nd maintenanr.e n� th� unprovement or other riqht�ol�way usF heie�o <br />.�:'�������d �er and fi�rth,�r ,iqmes to remove samc upon notiCe Irom �he <br />�� •., ir n iepi,�ni Cubhc pr�pei;y damaged Ihereb . <br />_�� Z Y G-a�-�s <br />Siyndlwe O1 AQphCdn! D���, <br />ll'OP.K AUiI-{pq12ED 8Y T!-IIS PERMIT MUST B[ STARTED WITHIN <br />190 DFYS OF DATE PERSIIT IS ISSU[D AND THEFEAFTER IS 70 <br />BE DILIGEfJTU' PURSUED TO COMPLC-TION. THIS PERMIT IdAV BE <br />CA^JCELLE:) 8'f TbiE CITY UPON i�NY STOPPAGE OF WORK C'iN � HIS <br />�ROJECT OV[R 9J DAVS DURATION. <br />