Laserfiche WebLink
Date <br /> 8-19-93 µ—� ^Z�-4 Pub1¢WO�ks Pe�mil� '3�/ <br /> eiae oeo�.• 41759 <br /> App�ication For <br /> PUBLIC WORKS PERMIT PuOTo�FeaFea s <br /> TOPOSTING___�-�r�� �ezsPoO�FeePatl : <br /> em,�aeo�e s ��7— <br /> Prirt or Type Only +r�\ <br /> Colony Craft 14410 Bel Red Rd Bellevue WA 98007 644-2323 �' Nl <br /> Owner Mailing Address City Zip Phone _ <br /> Owner <br /> Applicant Mai�ing Address City Zip Phone � <br /> 1 <br /> Describe Propased Work rocker � <br /> W <br /> Project Addresslif known� 5725 lst� SE Lot 45 Hanabrook 2 � <br /> Attech four(4)copies o1 plans for proposed wo�h• Draw to scale antl note the lollowing as applicable: � <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions ol all exisling and • Indicate Nor�h <br /> proposed structures on the iot • Show any proposetl grading changes <br /> • Existing and proposed utilities • Show measuremenls M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> . 1.All calls tor inspection shall be made 24 hrs.in advance-phone 258•8810. � <br /> 2.411 work shall be peAormed in accordance with this permit and current City of Everelt Design and Construction <br /> Stenderds and Specifications. <br /> 3.Celi Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800�424•5555. � <br /> �, �(r, �-� Ge�; �.��ftE�� �k,�t.�(' �-z�� -�`i3 O <br /> �"' <br /> � <br /> � <br /> � a <br /> G� ACKNOWLEDGEMFNT OF CONDITIONS <br /> '� The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less ihe City ol Everett Irom any and all claims tor dama9es, costs. <br /> expenses. or causes ol action ihat may arise because ol installation <br /> � '���(rC� ��'7� --[/� and maintenance of �he improvement or olher righbol-way use hereto <br /> ' L�. (... � applied for and furiher agrees to remove same upon notice irom the <br /> Appro ed for Co"n�s>truction Date City and to replace public property damaged �hereby. <br /> f�//��. /a-/S- 51 �" /�j � 9 �,� <br /> �Ll Date i `'u"L -�'_-�- <br /> FINAL INSPECTION Date <br /> Approved as Conslructed Signa ure of Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUB�ICWORKSDFPARTMENT 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CederStreet BE DILIGEN'lY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />