Laserfiche WebLink
11C 5 0 ��� <br />Date 6-29-94 TO <br />POSTING <br />PuEhe Works Permit • --rJ <br />II-L3 4N — <br />44781 <br />Dark Dept <br />Application For N <br />PiliTatw Feeic works Fee S <br />PUBLIC WORKS <br />LMs ADot FP.P Paid S - <br />r S S S S u4i� S rid S Daig$ <br />Print or Type Only 10 0p <br />MO N M,O <br />N M M�M MN <br />9820=_34�8n778M.+ <br />nl — <br />John Thompson 5617 Rockefeller _Ave E`ett <br />Mailing Address ,t 1. <br />Owner St� S ? �j <br />S �r-� <br />py i� 3u�L'�a-ri 3u <br />G - - <br />Owner -- City <br />Mailing Address <br />Applicant <br />— — <br />Describe Proposed Work ___ new house ---- ----- <br />SILI! � '—"'jLv -� - --- -- — <br />Project Address Of known) — <br />pp- <br />cable; <br />Attach four (4) copies of plans 10, proposed work - Draw to scale and note the following as appllcahle: <br />• Centerline of street <br />0 Property Lines Indicate North <br />• Outline and dimensions of all existing and • Show any proposed grading changt+s <br />proposed structures on the lot 0 Show measurements <br />• Existing and proposed utilities <br />DO HOT WRITE BELOW THIS LINE <br />O <br />PERMIT CONDITIONS. <br />1. All calls for inspection shall be made 24 hrs. in advance • phone 259.8810 <br />with this permit and current City of Everett Design and Construction <br />�\ <br />i <br />2. All work shall be performed in accordance <br />Standards and Specifications. <br />Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />3. Call Location <br />O <br />O <br />. <br />a <br />Approved for Co?struc n <br />Date I <br />i <br />�i <br />_ Date I <br />FINAL INSPECTION <br />Approved as Constructed <br />61"zi,r PUBLIC WORKS DEP.ARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone. 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs. <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />C,ty and to replace public property damaged thereby. <br />(�0, <br />6ignature of Applicant <br />WORK B0 DAYS OF OFDATE PERMIT ISEISSUED AND RMIT MUST ESTARTED WITHIN <br />HEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />