Laserfiche WebLink
TO POSTING nAa 4 a � <br /> � PUBf�IC W�RKS PERMIT DO�a--�ugi9, --- � <br /> PUBLIC WORKS DEPARTMENT Public Nbrks PermB II `��/�p <br /> 3200 Cedar Sima� 7 <br /> EvereM,WA 88�01 259-BB70 <br /> Building Pem•It M,__jr��66 — <br /> TVPE OR PRINT ONLY Pub�lc Warl:s Fae S_�� ____ <br /> PETERCAIUI CONS1'RUCTLON PO BOX 755 MUKILTEO 9R275 425-356-6508 <br /> Owner Malling Address City Zip Phona <br /> Applicnnt Mailing Address Clty ZI� �.`':.,�_y� ���jPM <br /> Describe Proposed Work _ NEW HOUSE � `�3n6 <br /> ��-�-` W <br /> F�uME 63.00 � <br /> -- --�£ft---dA:A�— <br /> Sr,C�15 4.50 � <br /> h �/� ='E--P�BR- <br /> PROJECTADDRF.SS(ifknown) Zs� �U��,UI �'� LOT 2 S�BDIVISION_`'blb <br /> --1ci++r,-- M <br /> A�tach fow @)copies oi plans lor proposed work-Diaw to scole nnd note the lollowing II eppllcable: fl 31�'Jl W <br /> •Proparty Lines •Outlina and tlimanslons of nll existing nnd proposed slructures on the lot 'Existing SFU�bGoposed uBl(IiegG O <br /> :��.— 'Centerlinx ol sireel •Intlicate North •Show any proposcd greding chang��s •Show measureri�rN`��Y l�yh.� � <br /> DO NOT WRITE BELOW THIS LINE rHEF; y� <br /> PERMIT CUNDITIGiJS: A iiM":E�i <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2 All work shall be pertormed in accordance with this permit and current City of Everett Design and <br /> Construction St�ndards and Specifications. <br /> 3. Cal! Location Undergrour,J�ervice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42�-5555. � <br /> � i1 I�.'I� 'lll Itlll�ll'll�nll fi`!Irl� Lill�l �.�. �...� �._(�Ili�i� 7 � (� � .III(� �'ICIII`.� �.Irii� ��Of���• i-? � ,i� I�I�� l'ill' � <br /> ��onn��;�lrr .\lanac�m��nl \I;u;iril ir�q�� . . I,q�l ��l io tin. p�•nmi i Ilr• mlilti�ui;m h�•ncli �linll i�r O <br /> .�c� ��b�.i I�I:III t �.'.•I ll� :UI\ II�� .�i���; �lfO�r:•111 �III:• 01' ���IIIIc�i111011 IIU� C�OtiC( I�I:III �II �i'�`1 10 Alll a <br /> i�i�tnclo�r• ���npi•n� linr ur Imm�i:dian i ':ill Ihil�Iic lt'nrk� fiq an in�,��rc•�inn pncir In co�..rm� <br /> � •nc•hr� <br /> � � fhic �•Inu•tiu.. �i,i�• �i�q,, �.. z3�''.�� IY ofim��rrr� iou• roal ni���i Ih�•r,•tiq., <br /> �i n �oil cl,u; nl ln�urir .c,�n�� r. ;i.,,iunod :md thr mtiltrsiUon Uench i� cun�tucled <br /> '/�,rlr�1� rutc�_ ir�J�- �iom �:ihlr p.� , Ihe Irrnch .hnnld L�� z� jY_Larb <br /> �� � ��, . :I�� •�Ic��,.,i, i •.,��;�n• ihihi)' In idcntiti i6.• =o�l c�l;i�- in ih� �i •Icl ;mil fl'rni�rli�inn� <br /> n w �i I�� �;in �ron� �h��;:• iu thr �•�;unpl� - mi�u,� ;iccui�lincn n�mr i6r ubo��� <br /> iu iiir�i: I I:d�l� i. ;� c�,nii. <br /> „ � ��„ . � �,i�l �,I:�n �, ii� 1i �In��,��c;n m �,ai,iu�c ��id�•«;il! <br /> w�✓ <br /> ACKNUWLEDGEMEN7 OF CONDITIONS <br /> �Z The undersigned owneri�pplicant hareby egrees lo hold end=ave hermlass <br /> /��/� L� ��,//� Iho City of Evare!t f.�m any and all clelms for damages,costs,expenses,or <br /> ApP oved lor Conslmc�ion -p ��B�� causes ol ection that may adse because ol Instellntion end maintenence ot <br /> Ihr impmvement or other igh4ol-way use hereto epplied lor and lutlher agreee <br /> to 'emove same upon noliea fmm the City and to roplece public property <br /> _�J�l _ `G� ,�-.17 -5 8 damaged thereby. <br /> FINAL IN�PECTION Dale � <br /> Appraved ns ConsM1ucled <br /> �'t—2 2^y'7 <br /> iature ol Ap icant Date <br /> 5N(7FK AUTHOR12EU BV THIS PERMIT MUST BE STARTED WITNIN 190 OAYS OF DATE PERMIT IS ISSUEO ANO THEREAFTER IS TO BE DILIGENTLV PURSUED TO <br /> COMPLLTIO�� THIS PERMIT MAV BE CANCELLED BY THE CI7V UPON ANY^uTOPPAGE OF�WORK ON TH�S PHQIECT OVER 90 DAVS DURATION. <br />