Laserfiche WebLink
PUBLIC WORKS Date _ _ � - - <br /> Public Wo�ks Permn# ;-' ^- j;.c <br /> PERMITBuild.ngPermitq ���.� --� ., <br /> PU�LIC WOHKS DEPARTAIEIJT Planning Reference x <br /> 3200 Cedar Sireet <br /> Evereil.WA 98201 Publ���Works Fee s - - <br /> (425�257�8870 �� � � <br /> T(} (���F���h Guaranlee5 <br /> U I l7 <br /> Ol:'NERNAME—rt +=_f:.j�"+� i-�_,i���.r._'*'Il�}i I1� nPPLICAtJTNnI.+[ <br /> AND AO�RESS••••"' ' " AND AD�(ifiSS� <br /> laj(.iC 4t "'1 li: (iii <br /> E1BhEiT h 9?::�;: <br /> i°i�oN=_ 925:,56771G r�r�a.[ <br /> iA%PARCELID.k . PROJECiA1:DR�55. _ <br /> IIQn(l��f.ty'I)'..�j._. _ ___ <br /> ['CSC�tIPiiON CI' <br /> r-i:oi�osro•:;a�k';:._ .. . TI� OAI,���✓�� ��� <br /> PERMIT CGVDIT�IONS �� � - - - ---- -- _—.. -.. �. --- . � �. <br /> �. All calls lor inspection shall be made 24 hours in advance -phone(425) 257�8810 <br /> �' All work shall be performed in accordance with this permit and current City of Everetl Design and Conslruction <br /> Standards and Specilications. <br /> 3 Cnl� Location Underc�round Service 48 hrs.before you dig. TOLL FREE NUMBER 1•800•424-5555 <br /> W <br /> . . ... -:'- �--- .. - __ i,�, _-�• :,c�;;iu: ; • �� ., :. , . � <br /> ' — <br /> c�nn• t L �OItO�� �I:WJ19 :8 t<� the dLainag= sy t�m pc : . _ /A <br /> �ha_ �.ntt.:ct�c musz me,t with ShN Pul:i�r_ Goek.. In����: _ _, ;� ; . ,, . _ , , ��� <br /> nag� coutin�a pcior to begir.ninc the p:ojert . (F.andy y � �- 4� '; , f, m <br /> nstal! eco9ien c.ntcol measuces r-e City uf Evecett St n�+ards f�l' dE�all Fac��z:: O <br /> .amove etosinn conie��l Me�SUCeB uFron C�=��qpl2iiUn of the p���er.i PC10C to zinal <br /> +:oval of tii� peeait. � <br /> . '+11 excavate<I matecial fivm ;ounda:ion, sidevalk ;nd dxiveWayxr�hall be haul�.; : <br /> - :�pFto��ed, p�caitted :,ite, NG 43P.ting of ID3CeC13� is alln+.red en;tiii� buil�i:nc i._ . Z <br /> No buil�ina matecialg to t� stacked on coa��vay and [oadv�y [p b�- ke�-�t e1-;,, +_ O <br /> _.Il fi.r VP�71''Lt 1:C,iVQ1. � <br /> . . ,.�. �. , - � • -. =t ��3vin�, ` <br /> �;.- '�—^— <br /> V+ <br /> O <br /> a <br /> ✓� C1`J� �r'a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ��� / 1 � . -��� C / The undersigned owneCapphcanl hereby agrees to hold and <br /> +'�: <br /> /•,r� �. • _1�-L _//�� save harmless ihe Ciry of Everett fmm any and all claims lor <br /> n r.� Con�.!,ur,cn r Uat damages.wsls,expenses,or c,;uses of action Iha1 may anse <br /> � because of installation and maintenance ol Ihe impmvement or <br /> � � i �G�l Z_ C� olher ric�ht-obway use hereio applied lor and lunher agrees to <br /> . _ �^— �_- V , remove same upon nmice Irom Ihe City and to replace pubiic <br /> I"I� AL MSI�C;TION �� pr�P�{�y dart Ili � <br /> Ay:�mvr�a�Censiniqrd Dale / ✓ �—��� O � �� <br /> l� <br /> Si9nature ot AP�Hcmil Date �� - - <br /> ;�..f;:�nU I ir•��'�.;'�i t;�fn' I ru:PLNldli L1U51 BL S1nH i EU t7I71uN �60 UA1'S OF CN6 PEI:LIIT IS ISSUED AND THEREAFTER IS 70 BE D�LIG[NTLV PURSUED <br /> I�i C;��,11',I.1ILd I�����I'i�I�i.'i� �.��d'GG GANCI Ll I_U Ill'iNE-Ciiv�ippN ANY STOPPAGEOF WORK ONTHIj PHOJECT OVER?D DAVS DURAiION. � <br />