Laserfiche WebLink
! <br /> ✓. <br /> � <br /> 1/24!90 , c� ^,� <br /> Date _� ' a�����wo,wz P�,m��. —�' ��� <br /> Application For omn oeoi �. 90/23E14 �. <br /> PUBLIC WORKS PERMIT PuOL<WmksFce - <br /> ro„��« s <br /> i�ss nnni Fcc aa�a S_ � <br /> Print or Type Only B'"°"°Oe ���� — i <br /> Select Horne:; P.O. Box 708 Mukilteo, 'aA 98275 827-8196 <br /> Owner Mailing Address Clty Zlp Phone <br /> Owner I <br /> Applicant Mailing Addre=s City Zip Phone �� <br /> � � <br /> Describe Proposed work new sincile family residence, L�t 9, Glenhaven Heights, � ' <br /> _ J^ f^� /1 � � I <br /> Project Address lif known) �`� J v �_��� ��—/�'�LC� � I <br /> Attach four(4) copies ol plans lor propose7 work- Draw to scale and note �he lollowing as apPlicable: � <br /> • Property Lines • Centerline of street � ' <br /> • Outline and dimensions of all existing and • Indicate Norih <br /> �roposed structures on the lot • Show any proposed grading changes <br /> • Fxi�ting and proposed utilities • Sl�ow measurements � <br /> DO NOT WRITE BELOW TIiIS LINE <br /> PEfiMIT CONDITIOPJS O <br /> 1.All calls for inspection shall be made 24 hrs.in advanc�.phone 259•8810. � <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hi�.before you dig.TOLL FREE NUMBER 1-800•424•555•5. � <br /> 4 . ANY CHANGS IN TAE DRIVEWAY CUT MUST BE APPftOVED O <br /> BY TH& PUBLIC WORRS INSPECTOR. <br /> 5 . CONNECT DOWNSPOUTS TO THRO CUP.B DRAINS. <br /> 6 . KEfiP CITY STRH6T5 CLEAN AT ALL T1NE5. � <br /> 7 . ANY PAMAGE TO TiiH CURB AND SIDEWALK WILL BE REPAIRED � <br /> TO THE SATISFACTION OF THE FUBLIC WORRS DEPT. <br /> O <br /> a <br /> 1`a�v ACKNOWLEDGEMENT OF CONDITIONS , <br /> • The undersigned owner/applicant hereby agrees to hold and save harm- <br /> ' less the City ol Everetl from any and all cl2ims for damages, cosis. <br /> y1n �� " e penses. or causes of action that may arise because of installation <br /> , ����ll C'G�/�__ Z l 6..�, and maintenance ol Ihe improveme�t or other righbof-way use hereto <br /> L�-r.SL � ����� applied for and further agrees to remove same upon notice from ihe <br /> Approved for Constr �ion - ate Cily n to�pl e public perty damaged thereby. <br /> � ������ <br /> �-�/��...� ��/U �%U <br /> FINAL INSPECTION Dale <br /> Approved as Construded Sig aWre ol Applican� D2te <br /> everett PUBLICWORKSDEPARTMENT WORK AUTHORIZEC BY THIS PERMIT MUST BE STARTED WITh11N <br /> � 3200CedarSireel 180 DAYS OF DATE PERIv11T IS ISSUE� AND THEREFf�TER iS TO <br /> Evervit,WA 98207 8E DILIGENTLY PURSUED TO COMPLETION. THIS PEHMII� MAY 8[ <br /> Phona:259�8810 CANCELLED BY THE GTY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />