Laserfiche WebLink
� <br /> ��.,��_ -� c� / � ���� <br /> _L� PULI¢Y/orFs P[�mtl a ��1�� ''. <br /> Hx�� Date�2f.�Z em,.oPoi.,36243 � <br /> C+7 C+7 nPPlicalian For �I <br /> ;�� pUgLIC WO�RKS �ERMIT Pu�LclVmkSFee 5 — — , <br /> ro�,�Fee �� <br /> 2 Less np0� Fee PaW �---- � <br /> H ��H' T p CT^.t^ �-�Z-9J a��.,�«o�e 5 2� � _ ' <br /> �C y� Print or Type Only !� ! � �'I <br /> 'i1 H hJ ' <br /> V1 H <br /> H x 9920 - 33rd Dr SE Everett 337-715i __ <br /> � O� Owner Mailin9Atldress Crty Zip Phone <br /> H t7 <br /> � �g Christensen Quality Yones 9929 .+',arine View Dr bfukilteo 98?_75 353-7665 <br /> �� n Applicant td.ailingAadress City �ip Phone <br /> zy� <br /> � H y Describe Proposed Work _Canst:._uc�-n�w "FR -- <br /> gy — � <br /> H <br /> C] C7 V� <br /> , � C y _��' —����� --- — --- � ,I <br /> tl1 <br /> ~ Cy projectAdd,asslifknownl __xxx - 23rd Ave W (Lo� 17 of Granada Sc>v:ew Estatrs Di��. �1) � . <br /> � � <br /> A�tach four('�)coples o� P�ans for proposetl v:o'�.� ���ti'�:o scal� and notn Ihe ' ::ing as apPlicable�. � <br /> • PrJper�Y LinCS • Centerline of SUe�,� <br /> • Outline and dimensions ol a�l exisLnp antl • Indicate Ncrth ; <br /> prrpo�_''s�rucW�es On�he�oi • Show any ryoposed grad�nr7 changes <br /> • Fx�S�ing and pwposed utihtir5 • Show mer!surements � i <br /> .��_,':'1 d �� <br /> :�"�� DO NOT NJRITE BELOW. THIS LIN`c �a ''� <br /> C 0 <br /> PERMff CONDITIONS <br /> 1.All calls tor ir.specGon shall be made�a nrs.in advance� nhone 259•8810. � <br /> _ 2.All work shall be pedormed in accor,'ance v+ith this permit and cunent City o�[verett Des�yn and Construction <br /> Standzrds and Specifications. <br /> !� 3.Gall Location Underground Serv�ce 46 •s.before you di9.TOLL FPEE NUMBER 1•800•424•5555. � <br /> �� <br /> �� � <br /> � <br /> ��_ � <br /> ,_�� O <br /> a <br /> ��-, <br /> � ACKNUWLEUGEMFP.T OF CONDITIONS <br /> - - � ___ 1 he undnrsi9ned owncr/applican�hereby a9rnps�o huld and save harm- <br /> -� less Ihe C�ty ol 6 :relt Irom any and all claims for Aamages. costs. <br /> ������I ��,J � `L expenses, or ca�ses � ' � tien Ihat may arise becausr. of installalion <br /> / ( �y ^��� ❑nA mainte��ance of th�� ^r�prOvemen� or othcr nyh�-of�� �y use here�o <br /> I__� apphed lor and lurth� � ayr� es to remove saine upon wiice ��om the <br /> Approve�Ici C�r�Siruclion` Da�e �ity and to replace pi�Uhc property Jama9ed t here Uy. <br /> � 7 i� <br /> �_ C' �"�._— .x '�_% 7 �i � <br /> i �� Y-. — _ �� _ l�- ..��'--�.u,.,�� � �, �5 2:— <br /> FINAL INSPrCTION �`��0 Dalc <br /> Approved as Consirucled Signatwe ol Ap�cani <br /> WORK AUTHORIZED BY THIS PERMIT �dUST BE STARTED WITHIN <br /> ��� PUBLICNJORKSDEPARTMENT 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �200 CeUar SUeet BE UILIGFNTLY PURSUED TO COMPLC-TIGN. THIS PEF?MIT MP.'f 6E <br /> [veret�,WA 98201 CANCELL[D BY THE CITY UPON ANY STOPPAGE OP WORI<ON T�HIS <br /> Pnone�.259-8810 PROJECT OVER 90 DAYS DUPATION. <br /> I_'_ -^ <br />