Laserfiche WebLink
26-95 <br />PUBLIC <br />Print or Type Only <br />SECOND BpPTIST <br />V W nPi <br />Applicatien Fpr <br />WORKS <br />TG POSTlNG _���� 1 � <br />PERMIT <br />_n Z801 VIf <br />�'.':� �i� ., .lr:tlress <br />ROBERT CHAMpION 2.59-3136 <br />APPlicant -- — <br />..,�Ini ; .lhhress <br />De;cribe Proposrd Work _ ADDITION <br />NIA AVE EVERETT <br />• 'G�I <br />Citv <br />1 <br />Project Address I�f knov.•n! 2801 VIRGINIA AVE <br />P.Itaeh lour In� cowes oi P�ans toi nn�-puscU ma .. D� �v �� -- ---'-- -------._---- — <br />•PronertyLiries . �.:.��...�:'.�'�°�.� <br />0 Outline and dnnensions c' all exishnq ,�n,� <br />prOpoSCd S�ruC�ureS on (hi� Iu1 <br />• Exis�ing and proposetl utiltl es <br />�,���,:��,.sP�,m�� — <br />9s_ zz Z <br />t;i�„� o�c� . _ 48183 — <br />P��11�i[ �v0��6 FI!C <br />TOl.11 Fn� fj <br />i,.s�4���� F..,.v:,, s <br />�,�.,,, . �.,, s 3 � <br />—=-- — __ <br />Phnn� <br />—_ Pl,.on�, "_'__ <br />� th�• �o�lc.vinq as an:Lrr�::q. <br />� G�nteilmC nl Street <br />• Intlic�p.i Nnrth <br />• cIIOW dny prOPOsed c�f2rtinc) chqnJPs <br />� Sl���v mp.asuremer Ig � <br />W <br />� <br />'�w <br />_ / <br />DO N07 WFI7E 6ELOLV iHIS LWE W <br />PERMIT CONDITIONS <br />1. All calls for inspection shall bo made 24 hrs. in advance - phone 2S9•88i0. O <br />2. All work shall be peMormed in accordance with this permit and currenl City of Everett Design and Construclion <br />Standards and Specifications. � <br />3. Call Localion Underground Service 48 hrs. befo�e you dig. TOLL FREE NUMBER �•$p0_qZ4-5555. <br />FINAL INSPECTIOP� �---=—�_G � <br />Approved as Consiructea ���� I <br />/M�FUBLIC LNORKS DEPAaTMENT I <br />�� 3200CetlzrStreel I <br />EveretL 6Vq g8201 <br />Phone: 259�8810 � <br />� <br />O <br />■ <br />� <br />4 <br />a <br />ACKNOLI'LEDGCF,!ENi OF Cq;JDI710NS <br />1 h�' imAars�qned ownei/,�pplicant hereby agrees Io hold antl save harm� <br />�t'S5 �t��'- CdY ot EvereU Irom �ny and all cl;;im5 for Aamager, cosis. <br />e�spenses. or �auses of ar,tion that may ans� hecause ol insiallation <br />�iy '��•�i��tenance ol thn improvement or other n�hbobwav usP hereto <br />�.�:'����^�' �or antl iurme� ,i rees to remove samc <br />� '..n�,r i�„n �� � �inon notice hom Ihe <br />i� CC Ou' ic pro �ri/ da�ry�t�ed IhC'rCUy <br />�, <br />Sipna� ue ol A1 �hcdnt --�_ <br />lt'ORK AlliliO IZED BY THIS PERMIT MUST BE STARTEDDlNI7HIN <br />�AO DA1'S OF DAT[ PERf.11T IS ISSUED AND THEREAFTER ;a 7p <br />BE DILIGENTLI' PURSUED TO COMPLETION. ?HIS PERMIT t.1AV BE <br />GINCEL LED 8Y iNE CITY UPON ANV STOPPAGE OF WORK ON i HIS <br />PROJECT OVf_R gp DAY�• DUR 1TION <br />