Laserfiche WebLink
_� <br />08t9 "� '� t- � • '.J i <br />��rh :rsT•�. ..�:..._,.,�y�,, ��. <br />.. . 'T' ""`F•."`.'� <br />Appllcatlon For- <br />PUBLIC WORKS PERMIT <br />na� cory <br />Print or Type Only <br />� <br />e� �v-�_ <br />-<.-,z �4C:..^ Cid �I+� <br />?. �1/1� • <br />►uetr Wau wmtll • <br />.� o.a.. <br />Pu01k Wpb FN <br />TqN FM { <br />�...�F«..� • <br />..�.�.o,� . • i�7 �' <br />�vja ^•���.:�IC ._�.: 4Q';' <br />ApplicaM MNlinp Addreas Clty 2ip Phone � <br />DseCribe ProPoead Wotk �'GC.C_ �'�±� �C'X C'' � ,� \I � • � � I n C:X � ` �.• n`) V�'�'� _ <br />' t.0� L`9ETu �8 t /� �' Y • �'1 � c3LC.G:." ' � .�rl� ✓ �c'3G�2 ._�.� LL] ��l'1 G� <br />� ' - '- - - -'. _ .c ._ _ �� r N-. .,. _.I'.�r. ri.� . �..! C �:11A - '_n_:: l c ._.. � <br />Pro�ec; Addroaa pt ki�own) <br />Attach lour (4) copien ol plann tor propoaed vrork • Drew to acala and note the followinq as �ppllcable: <br />• PropertY Lines • CenteNine ol etreet <br />• Outline and dimenelons ol all exiatinp end • Indicate North <br />propoeed atructuroe on the lot . • Show any propoeed qradinp charpes <br />• Exlstinp and proposed utllHiea • Show measuremente <br />PERMIT CONDITIONS <br />1. All ptls for Inepection shell be m�de 24 hre. in advance • phone 25¢881 O. <br />2. All work aMll be peAormed in accordence wiM thle permN and currant CHy of Everett Dealpn and Comtruction <br />3tendards and Speclfkationa <br />3. C�II Lacatlon Underyround Service 48 hrd before you dip. TOLL FREE NUMlEl11-800424-b658. <br />: <br />� rr��`, <br />�' � � �j i <br />� i� <br />»—�------.� � <br />���i'r� ' — �� <br />ApproG/ed'tor Co9 ru9ji � D�te <br />l �� <br />FINAL INSPECTION Dote <br />Approved ea Conniructed <br />PUBLIC WORK3 DEPARTMENT <br />3200 Ced�r Stroet <br />Everett, WA 98201 <br />Phone:25�8810 <br />ACKNOWLEDQEMENT OF CONDITIONS <br />� <br />� <br />O <br />a <br />The undenipned owneyappNc�M heroby prose to Iwld �nd s�w Aum- <br />Nas the City of Everatt from �ny �nd NI daima fa dam�peR cost� <br />expensea or c�uses of �ction IMt may ul�s bscau�e of Inahll�tbn <br />and m�inten�nce of ths improvsment or oth�r �iyhhof•w�y u�s heroto <br />appllsd for and further aprsaa to romove ume upon notke from Me <br />City �nd to ropl�ce Wa� P�M�rtY d�ma9� thenby. :��. <br />�..�:, (��'w .�,.�. �% '� -/ <br />Siqn�turo of AppNc�nt D�t� <br />WORK AUTMORIZED BY THIS PERMIT MU3T BE STARTED WITMIN <br />180 DAYS OF DATE PEpMIT IS 133UED AND THEREAFTER IS •TO <br />BE DILI6ENTLY PURSUED TO COMPLETION. THIS PEHMIT MAY SE <br />CANCELLED BY THE CITV UPON ANV STOPPAOE OFMlORK ON THI3 <br />PROJECT OVER 90 DAYS DUMTION. <br />