Laserfiche WebLink
�uB�ic woRKs <br />REF�MIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Stmet <br />Everetl, WA98201 <br />(425)257-8810 <br />OWNERNAME <br />ANDADDRESS: � . . - " <br />PHONE <br />TA% PARCEL 1.7.M <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />i o�ie <br />PuWic Works Permit a <br />BuilCing Perm�� X <br />Planning Relerence M <br />Public Works Fee S <br />Guaranlee 5 <br />ANUFUUMt�J: -, - <br />�� �� _ � PNONE: <br />PR0.1Ef.TADDRESS: <br />1. All calls lor inspection shall be mado 24 hours in advance. <br />2. All work shall be peAormed in accordance wdh �his permit and currenl City ol Everett Design and Construclion <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />' � ACKNOWLEDG[Iv1ENT OF CONDITIONS <br />` � -fhe undersignetl ownedapplicant hemby agrees to hold and <br />. �// y,�`y` ��) Y G� � save harmless ihe City ol Everett Oom any and all claims for <br />—� ' f�� d2mages, wsts, expenses, or causes of action Iha1 may arise <br />Approvee CIor Constructlo� Dal because of installation and maintenanco oI Ihe improvement or <br />�.1�% /� ���t%'1 C} olher right�ol�way use herelo applietl tor and lutlher agrecs to <br />��, T..7 `_ �.ii ��Gr (/p� �/j "-C- / remove same upon notice from Ihe City and to replace pu6hc <br />' FINALINSBCF ION -� propeny amagedlhe�y/,i <br />. APprjvc�e � Conspucted/� ;' Date O ,\ - � . / � � �7 � <br />',/A� //{p' i / � ��A/ 7 <br />L /�E �i_-^�'?J�}'� �— / �� � Signati�e�(AO�litanl ``y Date <br />� / 7� <br />✓ <br />WORN AUTHORIZ=D BV THIS PERMIT MUST UE STARTED WITHIN 780 DAYS OP DATE PER�d1T IS ISSUEDAND THEREAFTER IS TO BE DILIGENTLY PURSULD <br />TO CC'�4PLETION. THIS PERMIT MAV BE CANCELLE� �Y THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVEF7 90 DAVS DURATION. <br />�,`,. <br />OATApAq. iNC <br />`W <br />r <br />'�A <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />Q. <br />