|
PUB�ic woRKs
<br />PERMIT
<br />PUCiLIG WORKS DCPARiMENI
<br />3200 Gedar SlrFni
<br />EvereO, WA 98201
<br />14251 257-8810
<br />c1wNrHNr d ��r.rll�ti,l. Sr,.-•TT pF'r I
<br />nr+onnnr��ss �;ii� lii4TH F�L `_E
<br />E':'EF;E7'f 4'P.
<br />riioNe a_'S'?Pn7i�.;
<br />mxrnqc[i io. �a�i51POp_'�:.-�r
<br />arscnu�tioNpr irc.w H,_^;r _ T.n.:_'. _'.:.
<br />ri�orosr o woivK
<br />PERM�T CONDITIONS
<br />nrri.ir.ntdr NnM[�� ;�,•���:.�:
<br />�NU ADfIRC.iS
<br />ruoNi°
<br />�dIO
<br />Publ�� Works Permit N
<br />Buddmg Permn N
<br />Pldnn'ng Relerence M
<br />Public Works Fee E
<br />Guaranlee $
<br />rr�n�rr,inoor�ts. _ .,._
<br />� / �i � ` �.�. �:i h.
<br />FWI;.,�; _nl,.
<br />,�,t.��-� �,
<br />Li�T ? .5.�-N+-�-�� u jf
<br />1. All c 311s lor inspection shall be made 24 hours in advance - phone (4251 257�8810
<br />2. All work shall be perlormed in accordance wilh �his permit and curionl Ciiy ol Everetl Design and Construchon
<br />S�andards and Specilicahons.
<br />3 Call Loc�!ion Under�round Service 48 hrs. belore you di9 TOLL FHEE NUMBER 1•800-424-5555
<br />.. M��„•.;:n a .)• .-i: a;,�-�a ,. _�:i:�: ...: h��:: ,:,•
<br />�. �'le_�n ��ut;: .;t t>::;��: >f t:ite t: ha•,�a~.� cais���n t..c.;:" i;.,.�..J .,�.i .n..c st t.ni:;he�i
<br />ii :,1...
<br />. Strunt aettlemFnt ovc•i �e•ver latecal to h-r. cepnii�-i
<br />. Nn building marecial. _r, i.e 9C3�:K•?�i �,n �ifeualk: �,�,! :.,...;il�,
<br />itee of debri�
<br />c.. �i:� �ilCi� IOU�'�� ICr-{C3 i�C (!?t�Ylb Ci� i�P CCnCi:pC� Ufl20 Li�iC�b'd�.
<br />. F.?-paint flre hydrant "r.3*." }•.?llov
<br />.. <nne�^t side �er+�i pe�[ ClLy Stan•:laids n01, 6n�, h�iq
<br />L
<br />_ ., _,��:t irt
<br />, . � �IIIP•i 1, �in�jt�i�� ��'.4'IA��C�11t9 t�; t�1N �i1d70i�7�' t1j�9L?IO �?COV11..; . . 'h' i� .
<br />- '. , ' . . .. .�.i ��] r.�a.�n... ��., - tv f Fv:.i�.r♦ St:,i .,.... ! :�rh((�%.: ..
<br />a7 � �
<br />rn nnnrnin ; � I�
<br />IV fV�i11111: 0
<br />,
<br />'—'��� `.�'`"'�v �� � �• --
<br />r;o�,�n,.��o-,.<�o,,..n��.i.,,� - i,,,�-
<br />� _�- �
<br />f i
<br />r � f. . r ( � . , l.i: _ '
<br />_. _ __ v •.___
<br />/f-1 . SPLCTION �
<br />�uV�om•�f.�sCon<I�uc�ad Da1��
<br /><i/•,..:.0 t'.- i � " -f7'rr�
<br />i �� �•y.,� ^ S►' ii r � .
<br />/'!'��//J ii�/ /'lH����
<br />v
<br />� �l1qA � �� �a
<br />6 O ���s<,�� �006
<br />h,����
<br />�\CKNOWLEOGEMENT OF CONDITIONS
<br />T he un iersigned owner app6canl heru6y agreus �o hold and
<br />save haniless Ihe City of Everell Irom any and all claims Iw
<br />tlamages. costs. A.penses, or causes o� acUon �ha� may ansa
<br />because ol mstatla6on antl maintenanca ot Ihe im� rpvement or
<br />other ripht-ol-way use here�o apphed �or and lurlher agrees to
<br />ramove same u{xm nouce Irom Ihe Ciry and lo replace pu6lic
<br />property Aamaged �hereby
<br />J
<br />.��� �l /L�-. ,�,,�, ' /��,C
<br />tiiqn��u�eo�Applicanl Dalo
<br />bYOHN AlllNplll7�U 5Y I1115 PERMIi ��UST flF S1�RiCII WI(IIIN �l1� I�AVS C1F D41C P(RMIi IS ISSUED FND iMEREAFTER ISTOOE DILIGENTLV PURSUED
<br />nl f(11,API f 710N iH15 P[HMIT AIqV HE CANCFI! f D[iY 1HE CIIY UPON ANv S�OPPAGF OF' WORK ON iH�S PROJ.CT OVEq 90 DAVS pURAT10N
<br />W`
<br />=
<br />V/
<br />O
<br />�
<br />Z
<br />O
<br />�
<br />a
<br />�
<br />
|