Laserfiche WebLink
�� <br />� <br />NPE OR PRINT ONLY <br />Owner <br />AppiutbnFw <br />PUBLIC�:IORKS PERMIT <br />aueuc woaKs �ea�wruerir <br />3200 Cedw SVeet <br />Eve�ett, WA 98201 259•8810 <br />AppliC9nt M: <br />Describe Proposed Vyark <br />PROJECT ADDRESS (if known) <br />a�,ni� wo�o aa,nn r. <br />Bullding Pertnk N _ <br />Pudb Waka Fee S _ <br />Plan Check No: B 53100 gap� <br />11pp11cat.Dat�t 10�02/96 <br />Job Addrr: 371 ROCICBFELLBA <br />Own�rs WIL1(INSON THONAS <br />T�nants <br />Propo��d U�'t 6ARACE <br />7esc. of Work: <br />D6T71CH6D G71R71GE <br />OFFICE SBT JOH S8T <br />1►PPRVD !'OR PSRNITs D}1TS_/_�_ BY � <br />Phone <br />Phone <br />Attach tour (4) coples of plans for proposed work - Draw to scale and note tha following If appikable: <br />•Property Lines �putline end dimensiona o1 ali ezisting and proposed stnuNures on the bt �Eulsting and proposed uNlkles <br />'Centerline of street •Indicate NMh 5how any proposed grading changee 5how measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Desfgn and <br />Construction Standards and Specificatfons. <br />3. Call Location Underground Service 48 hrs. before you dig. TOf�L FREE NUMBER 1-800-4245555. <br />�0 1'�b��C, (�%(/V'�'c ��m��' {2eg�irc�l <br />Approved for Con�trvction Date <br />FINAL INSPECTION Date <br />Approved as Construct:d <br />�� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned c+wner/app6can} hereby agrees to hold and save hartnless <br />the City of Everett from any and all claims for damages, casts, expe�ses, or <br />causes ol action that may arise beceuse of Installalbn and maintanence of <br />the improvement a ott�er right-of-way use heieto aipplied fa and lurthe� aprees <br />to remove same upon notice from the City and to replace pudk proparty <br />damaged thereby. <br />.r ' <br />Signature of Applicant ��p <br />WORK AUTHOR�ZED BY THIS PERMIT MUST BE STARTED WIhIIN 180 DAYS OF DATE PERMR IS ISSUED AND TNEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURATpN. <br />