Laserfiche WebLink
/ 1�� �.'� � <br />Date_'_1.�—� <br />qpphr,ation For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Mailing Addreas <br />Describe Proposed Work <br />Prolecl Address lil known� <br />f�c:SlJ `=l�`,�"��,�I <br />ciiv a�n <br />CiIY 2ip <br />` <br />hiln,. Wa.- . ��/�^ ��� ,-'.��� <br />Hiay Dept � � u].�__ <br />�bM�cWorw�Fee e <br />Tabl fee <br />leb �M� Fee Vu� Q—�-- <br />9einn�n �ue i an � <br />Altech low i41 coples ol plene lor proposed work - D�ew lo sr.ale and no�e the lollowing es appliceble: <br />• Properry Llnea • Centerllna ol slraet <br />• Outline anA dimenqions Gf BII exisling nnd • InAicate North <br />proposeA slrudures on the lot • ShnN• any proposed g�adlup rhan�,�es <br />� Erlstiag and proposod ulilihes • Show meeswemenls <br />�one <br />P[RMIT CONDITIONS <br />1 All cehs for Inspaction shall be made :4 hrs. in advence - phone 259•8815 <br />2. All wmk shall be performeA �n ecCordente wilh ihie permil end cunent C��y o� Everett Deslgn and Consirur,lion <br />Stenderds and Specllicntions. <br />3. Ca' '.ocetlon Underground Service 4A hra. befo�e you dig. TOLL FREE kUMBER 1•800•424•5555. <br />7 cCf.51� ��cL �E�Gv,E�"� �OL7:T�r2� /�E���m�i" <br />J �Oit,. f�'�; /P00%�'70.+7 O,�'i�'1'.(�'� .,�_i �7�i /i:'� /c�,�. � <br />�/lJE %O �%C` i'/.G- L L c. <br />V; C/Ty/ ,<T4'e"E-7 iS 7n !P� i � , . � . ����� F%.• 'l< [. l�/n:-..� <br />��E,'���� s-�fg : <br />Approved lor Construr,tlun ' Dete <br />_��� �� ��� <br />FINAL INSPEG7IGN Dele <br />qpproved es Constru�led <br />�,�p��,�� PUBLIC WORKS DEPARTMENT <br />� 3200 Ceder Sireel <br />Everelt. WA 982C 1 <br />Phnna 259�R91� <br />W <br />h <br />� <br />� <br />� <br />�C KNUWLFDGFMENT UF f.ONDITIONS <br />The undersiqner owner'appiicnnl he�ehy 2grens �o hold enA seve h iinr <br />less Ihe Cily cd Eve�91t Irom xny,end BII delmti for demeg�is. cosls, <br />expenses ri c&uses ol ecUon tA4t may e•ise because ol Inslellation <br />end mai�.�er�nnce ol the Imppv�imenl or other righl-ol-wey use herelo <br />epp�ietl 1�and lurtne� eg/ "ab�lo remove seme upon nolice Irom the <br />City en���e0lnce p�bMr.�ope�ty damageA Ihere6y. <br />WOR -AU�HORIZECI BY THIS PEFMIT MUST BE STARTED WI�IIIN <br />180 4V5 OF DATF PEFMIi IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENiL� PUFSUED TO COMPLETION. THIS PERMIT MAV AF <br />CANCELI.ED BV TVIE CITY UPON AN1' STOPPAGE OF WORK ON Ti u�; <br />PF7nJ! (�T ��`1FR �i� (1nYS DURATION <br />