Laserfiche WebLink
�8t@ 10/14/93 Td POSTIi�G.G�Z�-� �uEIlcWarkaPermita �� �•�-_ <br />BICq. pepl. Y _ <br />Application For <br />PUBLIC WORKS PERMI� PubToelFBaFae s <br />Print or Type Only <br />ILass AOGI. Fee PqiE s /�f <br />Balance Uue S `�� <br />007_ -3Z.^�J'O//R� <br />Same <br />Applica�t <br />Describe Proposetl Work <br />Address <br />Ciry <br />Projed Addi zss (it known) ��3Z � S(o t�' -St S k/ Lot 87 Powd^r Mill <br />Attach tour (4) copies ot plans for proposed work � Draw to scalP and note the following as applicabl=: <br />• PropeAy Lines <br />• Outline and dimensions of all e,xisting and <br />proposed shuctures on tM lot <br />• Existing and proposed utililies <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading change�s <br />• Show measurements <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shell be made 24 hrs. in edvence - phone 259�8810. <br />2. All work ahall be performed in eccordance with this permit and current City ot Everett Design and Construction <br />Standarda and Specific3tions. <br />3. Cell Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424•5555. <br />Approved as Constructed <br />�� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 � <br />Phone: 259�8810 <br />ACKNOWLEDG3EMENT OF CONDITIONS <br />d <br />G <br />r <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City ot Everett from any and aIl claims for damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or olher right•c`rway use hereto <br />applied for and further agrees to remove same upon notica trom the <br />City and to replace public property damaged ihereby. <br />SigTlature of Applic t ""` <br />WORt: AUTHORIZ D BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLEn BY THF CITY UPON A�Y STOPPAGE OF WORK ON 7HIS <br />PROJECT OVER 90 DAYS DURATION. <br />