Laserfiche WebLink
PUBLIC WORKS °�'� - � ��;-°°� <br /> PublicworksPcrtnita r'�i4�1�-��'�='� <br /> PF R M 1 T �uiltling Permil a <br /> PU�LIC WORKS DEPARTMENT Plannin�Reterence a <br /> 3200 Cedar SIreM <br /> Evrrelt,WA 98201 Public Works Fee S c_: .'S.6��.� <br /> (425)257�Ef810 <br /> Guarantec S <br /> 01vN[RNhME BC�I�I.e1TT P•IJ.I. APPLICAYTIJAM(C �.'y`Fj$F. <br /> ANOA�DR[55' ANDADDRESS� <br /> - 8618 3F:u A'.'E 5:. <br /> EVEF2ETT 4�F, P 9::U E �r—/ <br /> PHONE: ��S?4�85�;, PHONE: 1 ' ' fLl O� �' <br /> �&r�� 3«t �� <br /> rnxrnnce�io a ri�i3u�?p,)��i�l8iir Pna�crnoorvess ;6i:: 3AD At'E SE <br /> D[SCRIPilON01' J1 � . ���o i .. _ �>vu . . . .�:�u• .: ��^t'.✓/CLLS �JG/'� <br /> PROPOS[�WORK�. <br /> PERMIT CONDITIONS <br /> 1. All cails for inspection shall be made 24 hours in advancc-phone�42�:;1 257-9810 <br /> 2. All work shall be periormed in accordance with this permit and cu«ent Gity ol 6vereu Uesi,n and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 � <br /> �;. '�.�L�lity woek to h� done pec appeoved plan catrd 'Iji�;G5 ��Glr4(`ktl�J � <br /> �,. :nr:r_all ecusinn a�ntcoi as ��1C�?fYQ�] by Lhe C'ity Pui�lir. u��cka inapectoe. t4 •- -. �. � <br /> .i;.:{.�:.,_Yot nn �'�t�: t�[� rl�>Cus� i�liff, 4E5-=-'.?_�40q} /A <br /> \// <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> �'^ <br /> V/ <br /> O <br /> a <br /> ACKNOWLEDGEME�T OF CONDITIONS <br /> �i/'Ir /� The ur 'ersigned ownedapplicanl hcreuy ayrees to hold and <br /> �-��/�� �Y';-C"✓',� 7 3�� n s a�ve harmless the Ciry ol Evereu Irom�ny ana all claims tor <br /> cl_---_ ` _ <br /> �u��r c�;:::���.,-,�o�, D� �� damayes,costs,expenses,or causes ol action that may ari;e <br /> because ol installation and maintenance ol Uw improvommit or <br /> other right-ot-way use hereto applied Inr antl funher a��,mes to <br /> r//y_�- ; _�..�!.,�, remove same upon notice Irom the Ciry antl to replace public <br /> . . �AL INSPFCTION property damagetl Ihcreby. <br /> PPPrnve�t as C��nSiructn�l Dal��•' ( �1/�� � �/� � <br /> 1��L.�S,J'� �� <br /> Si9nalureulAnOlicant � <br /> P!t)Nh AUIHOFIJ6U I3Y ililU P�-R69I7 �1UST�L S7AR7C�l'JITIII�J i00 U�YS OF��TE PEIiM1T IS ISSUW AND THEHEAFTER IS TO BE DILIGENRY PURSUEO <br /> t0�-��'P;1 i10�: 111IS I�I_HI:I I 1.1nF'OL CnNCFLLI D 111'iHC::l71'UPON ANv STOPPAGE OF\VORK ON THIS PROJECT OVGR 90 DAVS DURATION_ <br />