Laserfiche WebLink
1_:� ' I - :� -'-' J V <br /> Dale_�����0� - �l � -- <br /> r=,dm�.Wo�h�rorma. � -��C <br /> Anpliration Por Ei��n��n�.� ._�� Z?�qc�---_-_ _ <br /> P�IBLIC WORKS PERMIi" <br /> PubLr.YlmFs Fce <br /> iolniFcr $_ -- <br /> less App� Fnn p�iJ S <br /> Q018n'.c�l.�n, pJ ^'f!)M <br /> �L <br /> Print or Type Only ------------- <br /> ����,r fd;,a-v � 7v� /G�QCO DYI�IICrPP�� /,^9,///�rPF/c � .PO/,� 7s�S-n,�; �7 <br /> Ow� Mailing Address City Zip Phonc <br /> Sfi M 4- -- <br /> Applmant Mailing Address City Zip Phone <br /> DescriheProposedWork ti��ly S�y1TIP �-nt�tl�c� — L[v� �f L�/�//�.��/�i�/1 <br /> Project Address(if known) __ �ZE Cc( �`� T���/��L.. G-1,�_y_\1_\ :le 1 lZ��� / � <br /> `. � <br /> Att2ch four(4) copies of plans for prcpused work- Drav, lo sca' �and note ihe following as apUlicobk�: a <br /> � Property Lines • Centenlne cf street � <br /> • Outlinc and dimensions of al�existin9 and i Indicate Nonh <br /> piopocetl structures on thc lot v Show any proposed yrading changes <br /> • Existiny and proposed utihties ! Show measurements � <br /> . -: ��r <br /> DO NOT WRITE BELOW THIS LINE � <br /> PE}iMIT CONDITIONS <br /> 1.All calls for inspection shall b�made 24 hrs in advance- nhone 259•8810. � <br /> 2.All work shall be performed in accordance with this permil and current City of Everelt Design and Construction <br /> ._.Standards anri s�o���:^^�:^^_ - - <br /> I,U'P �� � <br /> `Pliat porti.on of Che NW 1/4 of the MFl 1./4 c�r Sect:i.on 1 , TowuShip ?8 � <br /> Ilortli, kange 9 East , i7.Pi. , d2scribed a5 follows : <br /> Commencing at Che ��cL'ic�n corner commo�� t.o Sections 35 and 36 , � <br /> Tcwnship 39 Ncrth , T�a_':ge 4 East , F7.i4 . , �ai3 corner being on the <br /> Idorth line of said Section 1 ; thence S89°19 ' 02"E along eaid Noi-tli r� <br /> > Lhence continue �r r <br /> liue 4^ . 59 feet L'o tl,e True PuinL of B�9iuuing; � <br /> ;�t39°19 ' 02"E 149 . :.'0 L'eet� thence SU°-1Q ' ��fs°Ld &O . UO £eet) thence <br /> Idtil°13 ' 02"YI 1%U . UU Eeetp t1lenCe P115°].5 ' :i"'� i32 . C6 fEeL' to the � <br /> True Point of Beginni�i9; <br /> SIJBJGC`P TO and 'POG1sTI1LR WITFI an ea5amei�t Ec�r inyress , e9ress and <br /> uCilities , over, un3ar and across tlia Y121t�ACK�NOWLEDGEM`EN oFCo DItTIONS I <br /> The undersigned owner/applicanl hereby agrees;o hold and save harm� I <br /> less the City of Everett irom any and all clairrs �or damages. costs � <br /> i� expenses, or causes of action Ihat �nay arise because of installztion <br /> /� ' �) ^ <br /> �, ` � �nd maintenance of the improvemen� or niher right-of-way cse hereto <br /> � � � -� appliec for and further agrees to remove same upon notice from ihe <br /> A " ved or Co 'ru�cC ` Date I Cdy and �o replace public property damaged ihereby. <br /> // / <br /> ��� ��.. i� �. � � <br /> /�i, /!�� j //���� . <br /> FINAL INSPECTION DelE -.// �r.^--�_.�__ . �V '/� �.�`" <br /> Approved as Conshucted ��- - Si9na�ure ol Applicant ����� <br /> WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN <br /> cvert�tt PUBLICWORKSDEPARTMENT ig0 D4YS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Eveiett.Vi,'A 99201 CANCELLED 6Y THE Clil' UPON ANY STOPPAGE OF WORK ON �iHIS <br /> Phone-259-8810 PRp,IECT OVER 90 DAYS DURATION_ <br />