Laserfiche WebLink
Date 12-7-94 � Q � ��`�✓/���� <br /> �Pum¢Worx,Permn. _`�L��L_[.L! <br /> Application For ,ry i�j�y�ING� / � o<oi • 46402 � _ <br /> PI��LIC WORKS PERI�IIT PuEbcWorksFeo <br /> Total Fee s <br /> o 1e55 PDPI.FeC Pa�� S— <br /> Print or Type Only � ppp ` s �— . <br /> O O O � Q g r $' u b <br /> fi <br /> �J �n '` CJ Ul l� <br /> � L� v) Pq � � ul [� C.J [� <br /> -ti u� M- u� M W � � � � p <br /> Joe Duvey 20909 W Richmond Rd Bothell 98(�1 485-0394 i.' "�' �' <br /> Owner Mailing Address o.� -o Cily � > iD z� � � phone <br /> O bO � U �J � � O !¢� 0o3U�1 O W <br /> Owner ..\y y � d = (� V OX3 ? VWIUJ � L=t <br /> B <br /> Applicant Mailing Atldress City Zip Phone <br /> Describe Proposed Work new house Lot 2 SP 1202-8-83 <br /> ProIP'��Address(il known) `"1LlJlS/ ��I'�� 5� � <br /> Attach lour(4) copies ol plans for proposed work� Draw lo scale and note Uie following as applicable: � <br /> • Property Lines • Centerline of street /w <br /> • Outline and dimensions of all existing and • Indicale Ncrih V� <br /> proposed structures on the lot • Show ami pwposed grading changes <br /> • Exis�ing and proposed utilities • Show measuremeMs � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERM�T CONDITIONS O <br /> 7.A!I calls for inspection shall be made 24 hrs.in advance-phone 259•$810. � <br /> 2.All work shall be performed in accordance with this permit and current City ol Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> d. Rooitop �lr.ti�tagc shall be discliargecl: O <br /> . To ll�c sitc's stornt dr:�i�i ���stem (privatc or public) <br /> . Tu a i�silenli�i� NO�JU�Vi15�011l .y.lem desi�ieil per scction �4- <br /> ').d uf(he cily sl�uid,ircls � <br /> . i lnto spl;�li block, /A <br /> 1'he method selected will be suhject to Public LUor��s Del,eirtement �O <br /> approvai. <br /> s, ��S{��� ��� �2�Yl-�ircP,�CenG� G� i VG✓t� (7i�t,",�% a <br /> AS �Pr�' i�15Pl,1.�-�s dMcG�'i a� ,'� 21^� -F�`ri�d, <br /> � <br /> - ACKNOWLEDGEMENT OF CONDITIOIJS <br /> �� �.� �`�� The undersic�ned owner/applicant hereby agrees to hold antl save harm� <br /> � — - � less the Clty of Everelt Irom any and all claims for damages. costs. <br /> C , �� � � exUenses, or causes ol aclion that may arise because ol installation <br /> and maintenance ot Ihe improvement or o�hei right-obway use hereto <br /> applied for and further agrees to remove same upon notice from the <br /> Approv 9r Consb e ion -/' - Dat!• City and to replace public property damaged thereby. <br /> �� �� � �� �- � �. <br /> FI AL INSPEC I N � � Date /-5 � <br /> Approvad as ConstructeG Sign ure ol Applicant � �--' Date <br /> �A�� PUBLIC WORKS DEPARTMENT W K AUTHOR12ED BY THIS PERMIT ST BE SI'ARTED WITHIN <br /> 1 0 DAYS OF DATE PE(iMIT IS ISSUE AND THEREAFTER IS TO <br /> 3200CedarSireet [ DILIGENTLY PURSUED TO COMPLETION.THI:'� 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 />