Laserfiche WebLink
Va.�'.I/.�_:..�'r <br />Appl cation f or <br />PUBLIC WORKS P�RMIT <br />Print or Type Only <br />�mmcwannve�mnL. /.,—'S�5��--�-�_�1 L-.. <br />tllnn Jrol � �-��—� � �J '_.._._. <br />Vubi¢ Wo�h� Fm S <br />lotelfee <br />lril �nnl fee PniE 5 — <br />7Q ���� <br />Oa�ume Due S _�. . <br />�J3' 3 4/6 <br />Boyden Realty, Inc. 1429 Broa�way Gverett 98201 252-1166 <br />Owner MnllinpAdO�ess City Zin ^hone <br />J 6 D Buildere 1429 Brcadway Lverett 98201 252-1166 <br />Appllcon� MallinEl Address City Zip Phone <br />Describa Proposed Work Single Family Reaidence __ <br />Pro�qct Add�ess (il known) 119 - 94[h Street S. E. <br />Attach lour (4) coples o1 plens for proposed wo. �� Draw to scule and nota Ihe following es applica6le� <br />• Prope�ty Lines <br />• Outline end Aimansions ol nll e�istiny end <br />proposed6truc�we9 onth�� bt <br />• Ensting nnJ ProP�sed utllities <br />• Gentertine ol streel <br />h Indicale Norih <br />• Snow any proposetl yrading chan9es <br />• Shov� measurements <br />PERMIT CONDITIONS <br />1 All caPs �or inspoi:tion shall be madc 24 hrs in ad�ance � nhone 25�J•8815. <br />2. All w�irk anall bo poriormed In accordance wnh �hi� permit :�nd currenl City of Everetl Design an7 Construcllon <br />Slandnrds and Spucllications <br />3. Call Lorn!lcn Unr;ergrountl Sarvice 4P Ivs. be�or�� you Ain.'iJLL FREE NUMBER �-EOO•4Z4•SSSB. <br />-�i - ` � <br />�r1�/��" � `� �l.�i� Z � 7 �'�' �"�.S <br />Approved for ('yonsir CNon ����+ <br />' I 7. � �P�s t <br />FINAL INSPECTION Dnle <br />Approvad es Con,truCled <br />rvricit PUBUC WORKS DEPARTME�Ii <br />� 3200 Cedar Streel <br />Evere�t, WA 98201 <br />Phonr�.259�A�15 <br />��ChfiOWL[DGEMENi OF CONDITIONS <br />� <br />G <br />�w <br />_ / <br />� <br />a <br />Th:� unde� siynatl ownoUapplicnn� hereby aqrees t• hold -u.d save hnrm� <br />iess ihe City ul Everetl Irom any and all claims loi ��vmage... cosls. <br />eMpenses. or ceuses ol e^tion that may arise because o� installation <br />and maintenance ol Ihe impwvement or other ri�7h1-of�way use herPto <br />applied lor and Iwther agreos to remove aame upon notice Irom L.e <br />Cily end to �eplace public prcperty dnmaged therehy. <br />�; �, �� ��� _ <br />- .��� .r-- � S <br />� Signature :' Applicnn� � Date <br />WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARY[D WITHIN <br />180 DAVS OF DATE PERMIT IS ISSUE[7 AND TIIEREAFTER IS TO <br />BE DILIGENTLY PURSU[D TO COIdPLflTION. THIS PERMIT MAV BE <br />CANCELL[D OY THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br />P�70JECT OVER NJ DAVS DURATION <br />a <br />0 <br />�--1 <br />f7 <br />m <br />.. �+ <br />.--� T <br />H � <br />VI 2 <br />m <br />v <br />mc <br />c� <br />C � <br />-i 2 <br />S �/ <br />m <br />O 2 <br />c <br />�~ <br />x <br />-�-1 1.^ <br />< <br />T <br />O �� <br />m .� <br />N <br />om <br />�N <br />N <br />�� <br />m <br />a <br />� <br />-, <br />x <br />D <br />z <br />_ <br />z <br />� <br />� <br />� <br />r., <br />