Laserfiche WebLink
� <br />� <br />� <br />TYPE OR PRINT ONLY <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evereq, WA 98201 (425) 257-8810 <br />FEB 0 '2 2W1 <br />;� POSTING <br />Date 5-26-99 <br />Put.lic Works Pertnit M SS <br />� ailding Permit M�v ����/ <br />Public works Fee � 7•U� <br />North Crest DeveZopment PO Box 340 Edmonde WA 98202 425-774-3181 <br />Owner Mailing AdOress Ciry Zip Phone <br />Owner <br />qPP,i��� Mailing Address City Zip Phone r� <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />ur� <br />Altach four (4) cupies plane for proposed work - Draw to scale and note the following if applicable: <br />• Propertf Lines • Outline and dimensions of all existing and proposed slructures on the lot • Existing and proposed utilities <br />• Centerfine of street • Indirate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calis tor inspection shall be made 24 hours in a.dvance - phone (425) 257-8810 <br />2. All work shall be periormed in accordance with this permit and current City of Everett Design and <br />Constructi��n Standards and apecifications.. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />..-:;...^.-9` r:Ul.:ti <br />-i. j�CC�) f.11}' SIICCIS C�r:;111 8l :I�� 11fI105, ��! �._;j�ci <br />Cui{� gult�r and sidcwalk in lhe pla( arc new and undamaged, a�ry damage Ihereto;�all be:rtptaCeN al the <br />discretion of tlic i'ub(ic Worl's Urspcctor. ;'i q^ 5 �E.UC <br />6. A ny changc in th� driveway cut tnn,t Ue approvcd Uy die P4V inspector - widlh�8f�{irap line liriiited �o <br />cxistin� apiuu wid16. �`�; " - <br />, ,ldjust �.vater boxcs to e�ad:: :d dnd oFcoasiniclinn. '`" `'- - , , <br />S. D�ivcta;� s sli�ill be complctely curcd beForc driving oci ihem. :�H, _: y. <br />P.00liup dr;nnav�• -;h�11 b� di>cLareed to stonn dr�in sh�b provided to lot. � ' `. �., <br />c�:W�i2 iO.Jv <br />iIL'lY' 16!.?.G(i <br />t ,-�TAL 3121.�c; <br />� _:;Y' <br />W <br />� <br />� <br />Y/ <br />� <br />Y/ <br />O <br />a <br />;_� ;,:� _:i-' .._ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applfcant hereby agrees to hoW and save harmless <br />the Ciry of Everen irom any and all cleims for dameges, costs, expenses, or <br />rauses of action that may arise because oi instatlatlon and malntenance ot the <br />improvement or other rightof•way use hereto applied lor end further agrees to <br />remove same upon notice from the Ciry and to replace pubilc properry dam- <br />aged Moreb . <br />�< <--�- ��-- � (� � y9 <br />igna ure o p ican a e <br />WORKAUTHOR�D BY7HIS PERMR MUST BE STAHfED WfTH�N 1P0 DAYS OF DA'fE PEFMfT IS SSUED AND T}EREAFfER IS i0 BE DI�OENTL� PURSl1ED i0 <br />COMPLETION. THIS PERMfT MAY BE CANCELLED BYiHE CEN UPON ANY STOPPA(iE OF WORK ON THIS PRO�ECTOVER BD DAYS DURA710N. <br />