Laserfiche WebLink
r. � <br />� `' '° <br />H <br />C N <br />Y H N <br />� � 'A <br />H <br />� N b <br />y N N <br />ro � � <br />��� <br />� H � <br />F1 N <br />N <br />H <br />C V1 <br />�� M <br />O fA <br />C' <br />Uate_�.�� . 7 /::: <br />r- App�iC�bon For <br />PUBLUC WORKS <br />� <br />0 <br />n C:�c�r.no <br />U� G �' rr II� � <br />Print or Type Only� �.� � o ri -�i c� <br />� � �, , <br />„ �tJ �r N � <br />� <br />nt <br />M11aJin9 <br />? —Cr�—Z�=—`� <br />PERIIAIT <br />Tn nncTlNfi_ `' <br />� C C'� � . �, <br />:i r:i r� r� o� <br />n � oo•c <br />t- ;n r¢i <br />w .h " u: �w {H' /1 <br />w'"'.i-+� <br />3 _ � W <br />( J ui -� U <br />91 �iL6 �' <br />, .,� : �:,,,,.. �,..,�,„ _ <br />d�„A o�P� . S i �Si�/� - <br />ruoucwo�keree S <br />toia� �crt <br />� LessApn���rePaiJ S — <br />o.r.,�,�� o�� S .T..O <br />3y.� -3� <br />�Ja- 9y����3 <br />Phone <br />City Zip Phonc <br />Desc�ibe Proposed Wo�k _—LiL �"" ""' " � /��L""-- � � _ — <br />Pioject Addiess lil hrr•:nl . .. <br />Vtacn low I4) copies of plans lor proposed wo�k - D�aw in �cale anA no'e Ihe lollowing as applicable: <br />• Property Lines • Centerline of streel <br />• Oulline and tlimc�i,ions ol a0 exislm9 and • Indiwtc Vorih <br />E� oposea simctures on Ihe lo� • Show any propr;ed gradin� changes <br />• lz�:ting and proposed u�ilities • Show minsurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in aavance- phone 259•8810. <br />2 All work shall Ue perlormeA in accortlance w�lh'his permil and current Cily of Evmeit Design and Construciion <br />Slandards and Specilieations. <br />3. Call Location Untiergrountl Serv�.ce 48 hrs. br.!ore you dig. TOLL FREE NUMBER 1•f300•424•5555. <br />Z <br />O <br />F- <br />� <br />O <br />a <br />�e <br />,��� <br />�� AGKNOWLCUGCI.'EM Of GOIJ��110N5 <br />I <br />�i . The und� rsigned ownm/apPlicant hereby agiees io hold and savc harm- <br />��� � �� _. - -- — Iess P ly of cveieU Irom any and all clarns tor damayes. cosls. <br />�a.r'� I eKper�' •� ,�r causrs o1 action ihat may a�ise because ol InstallaUon <br />��I and � ��c an�c ci the improvement or olher righPobway use hereto <br />�� �� oo �-'7 f., �� � ippl ��.� >>� and Imih��� �9iees lo wmove same upon notice :rom ;he <br />ppproved IorConsiructl �; Dale ;;�ty " d Io rcpiar,a puhl�,a p�opei.Y ��'^'�9`�d thereby. <br />' ���r `/f"_ _ /.' -1 ?�_ _ I; \ 1 <br />Dat_ � � �+-"---- <br />FINAL INSPEf,TION Si aiwe ol nni�c��� Dale <br />qpprovea as Consiructed <br />W RK AL'THORlZED 9Y THIS PERId1T IdUST BE STARTED WITHIN <br />�rrclt PUBUC\NORKSOEPARTMFhT 18 Df,YS OF DATE P[(7A11T IS ISSUED AND THEREAFTER IS TO <br />� 3200CetlarSPee� BE iILIGENILY PURSUED TO COMPLETION. THIS PERMIT MAY �[ <br />Everetl, V7A 98201 CA VCELLED �Y THE CITY UPOIJ ANY STOPPAGE OF WORK ON THIS <br />� Phona'.2v9-B810 PROJ[CT OV[f7 PO DAYS �Uf;�T10N. <br />