Laserfiche WebLink
PUBI�IC WORKS <br />R�ERMIT <br />PUBLIC WORKS GEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 <br />(425) 257-8810 <br />PRQIECTADDRESS: <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Public Works Permit # <br />Planning Reterence p <br />Public Works Fee 5 <br />1. All calls for inspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Constructioi � <br />Star.dards and Specifications. <br />3. Call Locatior Underground Service 48 hrs. beiore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />Tnr:trll .;i1i t�nre p i .'iv, 51:_�nii�rl r:':f�Fn t�inn_I ?a�ct c�m:i �c,r,rn n� ;�-r+}• i�rn,° <br />�.��rl .� ,id � -'.wt' f. z. •,1}.� rr..�r�iacd d�; n"(11, nit�, nf�y, � . <br />.. =.^.c^.�1_ ����-._,n _�,rtl�,l r.e..=uce_ F��1� lit;� cf —�aL>tt Ct=.,.�I:�Yi� .`�z� �ca'_?-z�, - - <br />. 4umpya c�ng�r-�,ry rrq7C��i.L S�93B�1C5..'UF•r•❑ .._•:Ilj?lc_1�•❑ 7•± Cllh' (''"]b". l•:. iC `:i Ii^]. <br />.�rr�� �i .�i' rn ( rr..t. � . <br />All .< ^avatr � �...;Cc��j;,l fc�rirn rr�nndatinn, sic'.:•w51k and r'.ri� �. ::' x' �' i. 't���r hau-•. � <br />_pgecre_. P-`!.i--:-� ��`=. .._ 4o'"lC7 . i3` �.i3_ i A1yi,:7��3 r�i r4i9�li�s_�12R': -- <br />,?iC iA11-T m1iCi, L'C:'R3 OL <j2.i�Y-3� -. �+B LL"nCM:@CI Olit•= T�03•j'.%3'v <br />. i::� ii�Ilitiltit7 N3Yi%Ci.11.5 t�:. :ir ..':9�`4.��j n❑ Yp:i�'.�.3j' .gi1�� C�7�_3�'aV.;�r «i� �.,:: .. � ', <br />. . " . . . .... i.'l:an T 2: "\'c�i ' <br />� __ r..____ i,n,: _ �1:�•v� s;,�:.•.��3�.� q['-,j-'-, <br />_ . ... ... .. r c�:�c[�<i�:, .... _�,�.* _ h._ `-__ �;,._. . <br />_ . . -. . . '�'��'t � <br />ACKNOWLEDGEMENT OF CONQITIONS <br />TYie unders;gned owner/applicant here6y agrees to hold �nd <br />save harmless the City of Everen irom any and all claims for <br />damages, �ostc, expenses, or causes of aclion Ihat may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way erelo a lied for and furiher agrees to <br />re o ame upo noti e ir -� t e City and to replsce public <br />p op damage ther .;y. <br />i � �� L�� <br />SignatureolApplicant Date <br />�O COMPLE710N 7� S PCRLITEMAY �E CANCEILEU EV� HE CITY�UPON ANY�S OPPAGE OF WORK ON HNDPROREC OVER 0 DAYD1DURATION�URSUEG <br />DALIBAR <br />EPWP ("!%G6) <br />