Laserfiche WebLink
TO POSTING�lee..� e'�A <br />� _� APPlicalion For / <br />PUBLIC,WORKS PERMIT oa�e 12/12/96 <br />' OI <br />i'18LIC WOHKS DEPARTIAENT Public Works Permit q <br />nc 3200 Cedar Street <br />Eveidlt, WA 98201 259-8810 <br />�! BuildingPermit8 577G9 <br />TYPE OR PRINT ONLY <br />Owner <br />Describe Proposed Work <br />i r: ��iin� <br />U � �o c� •+.i o <br />i> in oi cy •^ ra <br />c . ,- " <br />o� n� ia «� <br />n r.�nt� O <br />��� a'� c-� �O <br />Public Works Fee $ _2[� � <br />v�i ti ¢ r� <br />L� Nt N � <br />M r. � <br />� o� [S:ity '• ZiP f`thone <br />a��'i� �oi:i �'ii.i <br />Cc' ('_p1Q CJL ��_ <br />n^� �^ Ul 61 G] <br />City Zip Phone <br />PROJECT ADDRESS (if known) 51 17 �c �Rn pVF T o�� i SNORT Pl AT <br />Attach lour (4) copies of plans for pmposed work - Draw to scalo and note the followin7 if applicable; <br />•Property Lines 'Oulline and dimensions of all existing and pmposed strucWres on ihe lot •Existing antl proposed utilities <br />•Centedine ol street •Indicate Norih •Show any proposed grading cha iges •Show measuremenis <br />___-- _ __ _"'_ <br />PERMIT CONDITIONS: <br />1. All calis for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All woric shall be pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before �ou dig. TOLL FREE NUMBER 1-800-424-5555. <br />/• / C� �/L�1.=t�:zc' LC�L-GV QS�2G�f O'Z LO�tG�/ <br />S G��! _/LtL� �.�!�ii /�i2 .SA��nd�itA.6� �OCI�. <br />>1 cy1 Lt.czlLs"��'b�- ' � �/ <br />��, ';G'�rSf4,E� /t/' �00?�- LDr-� ck7[✓n SpOvfs , <br />%/✓O �¢r•zJ� nce�r--+ a� �� QLLa.✓e c� Of� ��ic 4�(ef/ �Ol� <br />� <br />� <br />♦�� <br />V♦ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigneC owncr/applicant he�eby agrees to hold and save harmless <br />the City ol Everett (rom any and all claims for damages, costs. expenses, or <br />causes of action that may arise because ot installation and maintenance of <br />�he impmvement or other rig, �t-oFway use herelo applied Ior and �uriher agrees <br />to remove : ame upon notice liom the City and to replace public propeny <br />damaged thereby. <br />� � �--- �- � /-9 � <br />Signature of Applica � Date <br />WORK AUTNORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THE!7EAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEf10N. iHl; PER�dIT MAY BE CANCELL[D BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />