Laserfiche WebLink
ApDlication For �� / <br /> � PUBLIC WORKS PERMIT °e,e — <br /> PUBLIC WORKS DEPAFiTMENT Public Works Pemiit M _� Z e <br /> 3200 CeOar Street <br /> Everett,WA 98207 259-8870 Building Permit N — <br /> p OCT 1 2 1998 O p <br /> TVPEORPRINTONLY � - rOSTING publi�NbrksFcaS_�� � _ <br /> �a� � �e a}�.ti�.U'Lt�o-v' nS - l I!ps l �� �)i�' SE� �, (.lf�- 9��e'- <br /> Owner Mailing Address City Zip Phone 7�S <br /> � ��2�j-3`f /� -�3a � rW <br /> Applic.�nt Mailing Address City Zip � Phone <br /> Describe Proposed Work �,�K.� :% ��Ly�� �^ � W <br /> C_OyL�YLF,c7 '�i' I C� I�D�L1�-- � ' -� �-ro nf Q � � o�t � <br /> � <br /> PROJECTADDRESS(ifknown) `�ldS— /S1' D� �+� � <br /> Attach four(4)copies ol plans for proposed work-Draw to scale and note the following if applicable: � <br /> •Property Lines 'Outline and dimensions of ail existing and pmposed structures on the lot •Existing and proposed utilities O <br /> •Centerline of stmet •Indicate North •Show any proposed grading changes •Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER '-800-424-5555. � <br /> �j, uS2 ��� � V.0 . �D/� � Conn¢c7�oh � <br /> Z�� c��c� ,BaS��, _ O <br /> a <br /> .S � � Gc.�>!�f' /�7.5` QC70�"' , -1 __, <br /> CaCC c� fy �i6G� � � <br /> �/^ic�, �o l�a,Fii�� Co�,eclion, �o.�c <br /> -, . ���o,c+e <br /> �.:o,�i: �o.00 <br /> A OM5k94 <br /> ����' K�� <br /> ACKNOWLEDGEMENT OF CONDi'.IONS <br /> � J n /J /C� The undersigned owner/applicant hereby agrees to hold end save harmless <br /> �%OD'7�L �� B the Ciry of Everetl trom any and all claims for damages,costs,expenses,a <br /> �\pproved I Construction �e causes o1 action that may arise because of installation and maintenance of <br /> � ihe improvement or other right-ot-way use hereto applied for and turther agrees <br /> ,`// to remove same upon notice fmm the City and to replsce public property <br /> �/�>/�l ' �6'�,5" —f� damagedthereby. <br /> FINAL iNSPECTION Date <br /> Appmve�as Consimcted <br /> Sig�M App' . nt Date <br /> WOfiK AUTHORIZED BY TNIS PERMIT MUST BC S7ARTED WITHIN 180 DAYS OF DATE PERA�IT IS ISSUED AND 7HEREAFTER IS TO BE DILIGEN1iY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELIED BY THE CITY UPON ANY STOPPAGE OF WOR�t ON THIS PROJECI OVER 90 DAYS DUFiATION. <br />