Laserfiche WebLink
Date 4/5/95 <br />Applicetion Fo� <br />P�JBLIC WORKS PERMIT <br />Pnnt or Type On'v <br />..�,,, w�,.. o.,m,� . <br />e�ec o�o� . 47970 <br />PueucWo.Meiee ` <br />ToIU Fna <br />LeO1pDl iee P�rO � �_ <br />B�unce Jue i ___ <br />Silverwood L.P. 12700 NE i24t�. St Kirkland 98034 822-4174 <br />Owner Maihng Atltlress Gly Zip Phone <br />Pat Carroll <br />ApDlicant <br />Address <br />Lp <br />Deecribe P:oposetl work New house�esic 29S _ _ <br />Prolect Address lil knownl _ 51 t�, <br />Attnch (our 14) copies nl plans for proposed work • Drew to scale and note tne �ollowing as applicable�. <br />• Prope.ty Unes <br />•(1utGne and dimensions oi ell existmg and <br />proposed sVucturas on the lot <br />� Ezisting and proposed utilities <br />• Cente�line of street <br />• IndiCele North <br />• Show any proffosed gred:ng chenges <br />• Shew measurements <br />PERMIT CONDITIONS <br />1. All cells lor inspection shall be made 24 hre. in advence • phune 259•8810. <br />2. All work ehell be peAormed In eccordanca with thie permit end current City ol Everatt Dasign and Constructlon <br />Stenderds and Speciflcellona. <br />3. Cell Locetlon Underground Service 4B hrs. belore you dip. TOLL FREE NUMBER 1-BOl►•424•5555. <br />Approved lo� Consiruction <br />MURt.��` a+orr.! t�PMli <br />L�✓f FCO'�I�;L'u <br />. �, .�........�._. � <br />�: A1 n .—__ ,�,�.. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />� <br />a <br />Thn undeisigned owner/applicnnt hereby agrpes lo hold a�d save harm <br />--- less Ihe Uly ot Everell Irom any end all cle�ms Im damages, cosls <br />� e�penses, or ceuses ol aclion thnt may ense because al Installnhen <br />and malnlenance ol lhe Improvemenl or olher right�obwe� use he�eto <br />applleA lor and lurlher agreas to remove same upon notice I�urr ihe <br />Dale Cily anA to replar,e pubhc property damagad thereby. <br />FINAL INSPECTION Dele <br />Approvetl as Consiructed <br />�PUBLIC WORKS DEPARTMENT <br />3200 Ceder Slreal <br />� Everett, W.49B201 <br />Phone:259�e,'fn <br />SignaWre ol Appl�cent Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISS�EG AND TNEREAFTER IS TO <br />BE DILIGENTLY PURSUEG TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BV THE CITV UPON ANY S'OPPAGE OF WORK ON THIS <br />PqG�ECI OVER 90 DAVS DURATiON. <br />