Laserfiche WebLink
PUBLIC WORKS Date <br /> 7/��— o O '-� <br /> PERMITPublicWorksPertnitKp�o�� - <br /> Building Pertnit 11 <br /> PUBLIC WORKS DEPARTMENT Planning Relerence M <br /> 3200 CeOet Sireet <br /> Eveztt,WA 98201 Public Works Fee 5 �,J�"� <br /> (425)257�8810 <br /> Guarantee S <br /> ANDNAO AE S:�ArS� Gr/�9ityoc k APP�ICAN7 NAME <br /> ANDAODRE55: <br /> 3,?/0 G✓�vt J�� ,S!4/h � <br /> �v��ati W� 9tZe�3 <br /> N ' PHONE: <br /> TA%PAflCELI.D.M PROJECTADORE55: <br /> DESCRIPTONOF s C <br /> PROPOSEO WORK: R�P�ACc c r i rfiN y ��'�SCv��t l+/�t/` <br /> PERMIT CONDIT�ONS <br /> 1. AI�calls tor inspection shall be made 24 hours in advance•phone(425)257•8810 <br /> 2. All work shall be performed in accordance with ihis pertnit and current City of Everelt Design and Construction <br /> Slandards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs.betore you dig. TOLL FREE NUMBER 1-800-420-5555 <br /> S/ /)% ST.�'!l�Tl��'/9l //�?���`�TrU�v �3[�!//��'� �' <br /> �/�.�9<<=���— �,� ,�,�-,�s��i�r� �y.�� ' cA <br /> t�/i// �'�-�>c,ei_i�-//�l'��b�.��.e'ji ����'�'�S , m <br /> � <br /> 7 <br /> -.� ,�:, _�.�� Z <br /> ��� GC0700' ' O <br /> i'T}�ER �S.GD f✓J/.S� <br /> 'iJT.x_ �S.OG � <br /> L'1- F_=!, �'i, <br /> A �:;'y_3��< � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � _� <br /> The undersigned owner/applicant hcreby agrens to hold and <br /> ` - � C% . . save harmiess ihe Ciy ol Evn.rett from any and all claims br <br /> /� oprovea�or �s cuon ate damages,costs,ezpenses,or causes of action that may arise <br /> C � � because of insfallution and maintenance ol t�e improvemenl oi <br /> i���,l�� -- other nghtof-way usa hereto aoplied for and lurther agrees to <br /> remove sama upon noti_e from ihe City antl to replace public <br /> FINAL INSPECTION <br /> /+voioved as Constmctea oate ProPerry damaged Ihereby. <br /> ��,! �-ro-� <br /> Si aNreolApplkanl Date <br /> WOHK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEH IS TO BE DILIGENRY PURSUED <br /> TO COMPLETION.THIS PERMIT MAV BE� ANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />