Laserfiche WebLink
I7iiiL' <br /> ����'� ������ PublicWorksPermit-: - ��� -� <br /> P���'� Building Permit# <br /> PUBLIC WORKS D[PARTI.IENT planning Reference� <br /> 3200 Cedar Slreet <br /> Everett,WA 98201 Public Works Fee 5 - � <br /> (425)257-8810 "- � <br /> Guarantce t <br /> OWNER NAN�E APPLICANT NAME I <br /> ANUAODRESS�, ,'7'i'"� (.,r' �,�,z��.=;Z"i' phF`($S ANDADDflESS: Ey NF;Y $Cj$2QDER 'i <br /> ao? E r��.xrL�c� sr.v� i <br /> El�r.��rr uA ?e2o� �� <br /> Pr+oNe: 9�52578J(�f1 PHONE: 4?S<�+�Q37� <br /> L1X PARCEL I.D.N PRQIEC7ADDRE55: <br /> �Ba2--i0TH ST <br /> � GESCRIpTION OF I <br /> PNOPOSED WORK: :�h.'+it T_:ti�]C i u.=.�1:!RiI i�31JLM$ Fi�ILLi lP'a YAF�'}: �1� IS I <br /> oC <br /> I li <br /> �_— ——' . .. . . . .. . _ . . ._. <br /> PERMIT CONDITIONS <br /> 1. All calls(or inspection :�hall b�ntnde 23 I'�our= in advance. <br /> ? All wOrk Shall �^pertonneti In accorda:�cc�vi�h this permit and r,urrent Cdv of E!�aie�t Desiyn ond Construcfion <br /> Slandards and Specilicalions. � i <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER I-800-/424-5555 � <br /> . . " _"' . _•!:IC `_• Ii5 ��^Ila �J?C 3��•Cnyrj �Iq:l" �j3^c�j 1_ ;vi'il)li7/ (-�/� q���(�Ic�.�/j � '�. <br /> l � <br /> . 'Phi:: pcoj�ct m •,t adhete to SEF?1ii1-uii7 condtion� with L"c'i�3L'•:I5 t-v snil han•r:l�:,,, � <br /> i�"tlVlCl?9 <br /> . '. '.r' _ .,.- _ 'U�:� ;-ilr 7Lr 1 �. }�. }":�F" r•1. "�r' nf r!IT�f :;il�� i�rvt�71_. �1 3�.. Y�f .. !i;.._, . � <br /> .. ... :. .1�.•. : . .. � <br /> / 1� <br /> ��\ � <br /> \/ <br /> � <br /> � <br /> �_1 c. � / l� � <br /> � � � � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /� �/" � The undersigned ownedapplicant hereby agrees lo hold and <br /> I ��" /y�`�� /� �7 � save harmless Ihe City of Everett irom any and all claims for <br /> .%/ '���L� / <br /> I App �e ConsWction _ D e damages,costs,ezpenses.or causes ol action�hat may arise <br /> because ol installation antl mainlenance ol the improvement or <br /> o�her righ4of-way use hereto applied for and lutlher agrees to <br /> � ' .` �����-�� remove same upon nolice irom the City and to replace public <br /> � <br /> �I FI�JA INSP TI N pmpefl}'dartlagBd BfBby. <br /> i Approvetl as G nslmc�ed Data <br /> - - _ ,�ti--�r" . -�ti�w� �z - � - � 7 <br /> SignaW�oo pplicam Dato <br /> :70RK AUTHORIZED BY THIS PEFPdiT M11UST BE STARTED WITHIN 18U�AYS OF DAT[PERMIT IS ISSUEDAND THEREAfTER IS TO BE DILIGENTLV Pl1RSUED <br /> IO COMPLETION.THIS PERldIT A1AY BF CANCELLE�BV THE CITV UPON ANV STOPPAGE OF WOflK ON 1HIS PROdECT OVER 90 DAYS DUFiATION. <br /> [PV:I'I'l�Ob) �ATIBAR.ING. <br />