Laserfiche WebLink
Ol'JNER NAME <br />ANDADDRESS�. <br />PHONE: <br />TAX PARCEL I.D.p <br />�u�i_is�s �rio��.S <br />������ <br />PU�L1C WORICS UEPARTMENT <br />320D Cedar Street <br />Everett, WA98201 <br />(425) 257-8810 <br />DESCFIPTION OF <br />PROPOSED WORK: � - � � � <br />PERMIT CONDITIONS <br />PYONE: <br />PRQIECTADDRESS: <br />o.,�o <br />PubliC WOrkS Permd r <br />Build�ng Permif # <br />Planning Re�erencc � <br />Public Works Fec 5 <br />Guaranloe 5 <br />`._� <br />t' ``i `I <br />1. All calls for inspection shall be made 24 hours in advance. <br />2 All work shali be peAormed in accordance with this permit and current Cily of Everett Design and Construction <br />Siandards and Specifications. <br />3. Call Loc�!ion Undc�yround Sen�ir,c 48 hrs. before you dig. TOLL FREE NU�ABER 7-800-424-5555 <br />� . � � � , hv t.h.• Fuhlic��.tdnr'r� <br />fnr��'q; 91'raW ..:�.(9:`;� 9v..'ijf:7r C.1' rt'pgil�il �,Ihl.3t11:FC'�. _.. - <br />— o <br />���� • �J?/ � � �/ <br />A mvod �or Cocstmclion Oate <br />0 <br />as Conslmcled Dato <br />%� —!'� — OS <br />L/ � � � , I L "� <br />� � P�1� � �N -= ... ._-- <br />— -I <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The untlersigned owneNapplicant hereby aqrees to i,oiC and <br />save harmless ihe City of Everetl from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of instaliation and maintenance ol the impiovement or <br />olher righhobway use herelo applied for and tunher agrees to <br />remove sap�o upon nolice�lrom )he iry and to replace public � <br />� pro�QAydamaged�fiereby,� , � _=�^`/��IL 7 <br />�. - _ i / / <br />� <br />� . �, — � � "� . �` , 1.� � ��; �—���� �� <br />��S aWreolApplieant � Dale <br />�^/ORK AUTMORIZP i F3v TIIIS PfRldlT MUST BE STARTED WITHIN 180 DAYS OF DATE PEt?M111T IS ISSUED nND THEREtFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. 1 HIS PFRI.1Ii f.SAV OE GANCELLED BY THE CI7Y UPON ANY STOPPAGE OP �YORI( ON THIS PROJEGT OVEP BO OAYS DURATIOIJ. <br />Cr�wP I�;�1 oarnt3,�R. Irvr. <br />