Laserfiche WebLink
� uivr�e� Nnr.i[- - <br />I �NDAOUPESS�. <br />PHONE: <br />TA% PAPCEL I.D M <br />PUBLIC WORKS <br />PER11A1�' <br />PI��LIC WORKS �EPARTIJ�EIJT <br />3200 Cedar Slreel <br />EveretL WA98201 <br />�azs� zs�-ea�o <br />_ .__ Le�,i'r� ,i: <br />-`:.li $OU:iCi ?!i'n. <br />,y.rgt{ r,a <br />` `47iCa.�. <br />PHONE: <br />PRQIECTADDRESS: <br />I D?�v <br />� Pubhc Worns Permit d <br />� <br />Buitding Pcrmit : <br />Planning Relcrence a <br />Pubiic Works Fec 5 <br />Guarantce S <br />_ . . . i_ . r. � � . ;. � . <br />.. .. .,ound P.:�_. <br />— �nC-�CL '413 <br />�+=`..3A73542 <br />DESCRIPTION OF � <br />PROPOS[OWORK: a�.�_ rI]'ia� i�ill�i =h�7 i.•.7^• .r •.;.].: 1(t �CoOt O( �1Q119? <br />PERMIT CONDITIONS <br />7. All calls lor inspection shall be made 2n hours in advancc. <br />2. All work shall be perlormod in accordance �vilh Ihis pemnl and cuirent City of Everelt D�s�gn and Construction <br />S�andards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800-424-5555 <br />'�� <br />-- - — - - ----- <br />_ _�� - ' ACKNOWLEDGEMENT OF CONDITIONS <br />! ';� _ _ _ � , L�� ' ..,/ � � The untlersigned ownevapplicani hereby agrees to hold antl <br />�--" j�-`-- � . ;�/ ��. y,% ;+;.;%-, save harmless Ihe City ol Eve� �m any and all claims lor <br />Approved lor Construction i Date � � damages. rosts ezpenses, or �._ .es of action ihat may anse <br />��/ i�. �,/ because of installation and maint?nance ol Ihe improvement or <br />s0// / olhe� nght-obway use hereto applied lor and lutlher agrees to <br />. fB!/ (�i�ZS�L77 <br />,. �� Jemove same upon notice Irom the City and to reptace public <br />FlNAL WSPECT N prOpC�ly tlamaged tfie�eby. `� • <br />Appmvc� as nslmctvtl Oale � i � �� I� <br />_1 .i:! � J�>.i.i. -� . I . '.� <br />I SignakuoolApplicant Date <br />WORK AUTHORIZED BV THIS PEfiAUT MUST �E STARTED WITHIN 780 DAVS OF �ATE PERMIT IS ISSUEDAND THEREAF"TEF IS TO OE �IL16ENTLV PURSUED <br />TO COIdPLE710N. THIS PERMIT MAY �E CANCELLED �i' THE CIN UPON ANV STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAVS DURATION. <br />1 PIVP R'Obl DFTR�Aq. INC <br />W <br />� <br />VI <br />W <br />O <br />Z <br />O <br />H <br />� <br />O <br />a <br />