Laserfiche WebLink
DAte.�f� <br />Appl�tal:on For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />�„�,,.� w�.,., P. � . A6 — /79 <br />�, y�/ <br />fi�0a Den� . _IL6(� <br />Puo c Worx� iea <br />�o�.�.so s — <br />ieei eoo�:ee'���e 6�_ <br />B� e0ur i �D� <br />� i ' /yz9 -8,���:- �f�En- �s2-•��� <br />Owner Mallin� Address � C�ty Lp Phone <br />sArnE_ ____ <br />Appiicenl Mailing AdAress C�ly Z.ip Phmie <br />pe6c�lbn PropoSatl Wr,rk ___<<%�fST.c'UCT S'- F. _�_ _______ <br />Prole..' Addresr, iil known; <br />Atlecn four �4) r.opies ol plans lor proposad work � Druw to scele nnd note the lollowing as xpplicable�. <br />• Proparry Lines • Cantedine ul etraet <br />•^�tlline end dimension= of ell eRist�ng xnd O li��f: -aP� North <br />pmpo5ee struclures on the lot • Show eny propose,d grading r,hangeo- <br />• Exieting and p�oposed utilities • Show measuremAnts <br />PERMIT CONDITIONS <br />1 All calls 10� insoBc1i00 8he11 bn made 24 hr6 in advance � phone 259•8815. <br />2. All wo�k ahell be pedmmed In xccmA�nce with ihis peimll and current City ol Eve�retl Oesiqn nnd Conr,tr�cliun <br />Slenderds and Speclhcetions. <br />3. Ca I Localion Undergrountl Service uc prs belore you dig. TOLL FREE NUMBER 1-800•424•5555. <br />4. AN�' GRACING DONE UN THIS LOT SHALL RE DONE SO AS NOT TO IMPACT <br />uURROUNDING IATS WIiH FAINWATER RUNOFF. <br />5. AN1 CURO 5 GU'I"i'ER OR SIDEWALK UAMA3ED DURING CONSTRUCTION <br />REPLACED BY THE APPLICANT, <br />6. UOWNSPOUTS F'R�M 'IHE HOUSE ARE TO BE TIGHT-LINED TO THE' DRAI <br />��.� ...� ��%,�� <br />Aprnoved Im Construction � Oete <br />--L� - 'L{� �,; �t'jZ , <br />FINALINSPEC110N Dale <br />AppmveC os Consducted <br />rvamit PUBLIC WORKS DEPARiMENT <br />� 3200 Ceder Streel <br />Eve�ett WA 98201 <br />Phone P59�8815 <br />ACKNOWLEDGEMENT 01 �CNDITIONS <br />W <br />H <br />� <br />� <br />The undersi9�nA owne�/apphr.:tnl hpreby agrpes to hold flmi xave harm� <br />les5 ihe Cily ol Cve�etl from nny and all claime lor AHmuges. cosls. <br />E��0f1SE5. O� C8USC5 01 8d�0l1 �hat mey ense because ol ip91A1�811011 <br />nM rnamtenence ol the imp �vemenl o� olher nght�ol�wBy usr hr.relo <br />npplied �or end lurlher agree5 �o remove 68:�e i•po� �ollce �rom Ihe <br />Clty end lo replace public properry tlamageA there6y. <br />` ' �—f �/ -, <br />/l / -�..:—. 1 �„r.�l !i � V� <br />ignxhve ol Applican� �—� —�' D le-- <br />WORK AUTHOR17EU BV THIS PERMIT MUST BE STARTED WITH!N <br />1d0 DAVS OF DATF PERMIT IS ISSUED ANCI iHEREAFTEf1 IS TO <br />BE DILIGENTL� PURSUED TO COMFLETION. THIS PERMIT MAV BE <br />CANCELLED BV TNE CITV UPON ANV STOPP4GE OF WORH ON TNIS <br />PROJEC70VEfi 9G DAVS DURATION <br />