Laserfiche WebLink
Application For / <br /> � PUBLIC WORKS PERMIT �aSe 10-29-97 <br /> .", �l7 3 �-r0 <br /> . PUBLIC WORKS DEPARTMENT Fublic Works Permit# <br /> 3200 Cedar Street <br /> Everett,WA 98201 zss-ae„AR � s �g Building Permit p 56938 <br /> TYPEORPRINTONLY TO POSTING PublicWorksFee$_[iCl <br /> I <br /> Gene Lamoureux 7413 204th St SW Lyr.nwood 98036 919-2828 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new hor.se Basic 1251 �'^-�" �a 10'-t^AM 1 I 1 <br /> �4 56S3E ,i, <br /> F'i_UME 77.00 � <br /> PROJECTADDRESS(ifknown) 10510 7th Ave SE L�C �p �jl 4 c� � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the followin if a licable: �t 956w W <br /> 9� PP �7 p p O <br /> 'Property Lines •Outline and dimensions of all existing and proposed slrucWres on thr'�t •Exl,ting���}opasedV(illticsp <br /> •Centerline of street •Indicate NoAh •Show any proposed greding changes •Show measure � ��300 <br /> �Q� ' <br /> DO NOT WRITE BELOW THIS LINE � � . � <br /> PERMITCONDITIONS: BOND 33G.00 Z <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-889bTA� �755.v"0 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design arfd4-iEf; � <br /> Construction Standards and Specifications. A Oh{444� <br /> 3. Cail Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> � im:hill :ui inlillr:dion (rauc6 bwlt ;is ���•r Srcliou 3-2.0 2 .md E'i_qur� tmd'C•�blo 3-2.2 � � <br /> � o£the cit� O <br /> ;tornn�ait�r \I.m�qcuirut �9aiwal jcopv , staplcd to tliia permit). 11�e. iiililtratiou trench shall be uo <br /> �1�,��r t 6�m 5 t::l to ��y up s lope propertt line or fonndrdiou uor closer U��u� IO fe;t to �ny do�i•u,lo� � a <br /> ��rn�mrl�� linr or fintndafion. Call I'uhlic �i�'ork:; tor m� in�pec�ion prior to coveriug tre.nc6zs. <br /> i'•;�m�pir: Chi, ;6i�c�ur: 6s�saopros. I3OOSq. Ft. ofimprerviousroofa��e.a. "I'harcfbr�. <br /> if a .oil clsL�s oPloruiee su�ed i� asssumad .md ihe i�d7ltr�tion tmnch is cou�tuct,d <br /> _ t d�en�rarl.;l'!. wide, from lable 3-2.2 the trech should bc <br /> �Z 1. Lui� <br /> tt'conditions in the field v�vy fi•um tl�ose in tlir exa�uple - adjust nccordiuglv <br /> usiq� Ihr abor�• inrulian�-d labl�� as a c,uidr. <br /> � � ACKNOWLEDGEMENTOFCONDITIONS <br /> �`� ry ��/f/�C�� �_ )/ '7 �� The undersigned ownedapplicant hereby agrees to hold and save hartnless <br /> � ' � / � the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved for Construction Date causes of action that may aris=because o(installation and maintenance ot <br /> j the improvement or olher right-of-way use here�o applied for and further agrees <br /> � �/ /�// r to remove same upon notice from the City and to replace public property <br /> �Y�('c. t '�-/'t'�Tt,�� .La �5� damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> -� ��v a-7�-�,� <br /> S n ure o(Applica Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE ST4RTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED E3Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />