Laserfiche WebLink
� <br />TVPE OR PRINT ONLV <br />NESLEN WELCN <br />Owner <br />Describe Proposed Wark <br />Appbcntion Fa <br />PllBLIC WORKS PERIIAIT <br />PUBLIC WORNS DEPARTMENT <br />3200 CeAar S�raet <br />Everetl, �'�'A 9POST! N9� 3 O � <br />T�� <br />Data _ 6/2/97 <br />Publk Nbrks Permit N <br />� <br />Building Parmit M _ _.$5�06 <br />f <br />Publit Works Fee E _. _ _ <br />6322 76TH DR SE SNOHOMISH 99290 337-3528 <br />Malling Atldress Gty 2ip Phone <br />06-09-97 3:31PM <br />� 55306 <br />MoilingAtldress City Z�p �JI�I� ��b <br />PLIRBING 77.00 <br />NEw HOUSE - BASIC 1230 ---_-- —_----��rre� _��— --.---- � <br />6UR()Y1ftt3E �.SO _ � <br />- _ --- -- �t�� --�-�-- <br />N 9395 <br />- - _ _ -- - g - ---- --- � u°T� __�-pL---- <br />PROJECT ADDRESS (i1 knownY��i��� a�C9A 2 6- �' /[��q r� <br />— BE�RR — �- - -- - - <br />Attach lom (4) copies of plans lo� proposed work � Drew to scele end note Ihe follow�ng II applicable�. �I�IN ���'�'�' //,�� <br />'PropeHy Llnes �Outline and dimensions ol ell eMisting end proposed 51rucWres on �h51ot 'EM�sting i mgo�ed[QILtM9� <br />•Cenlerline of street •Inui. ale Nonh •Show eny proposed greding chnnges �Show measwe T� �+.� <br />PERMIT CONDITIONS: p pQ � <br />1. All calls (or inspection shall be made 24 hours in aclvance - phone 259-8810. <br />2 All work shall be performed in accordance with this permit and current City of Everett Design and <br />Consiruction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOIL FREE NUMBER 1-800-424-6686. <br />�� <br />, . , � -- , � t ���i, r : , ,.� ,� , ,� � <br />. . �, . ... � ; . , _ . . . , . �.� .�r �. �. i�� . � .. • -r ... <br />.. , . � i' ...i .�.. �i I i, i� i• 4 tli.rLli'. i.'br �, il���„ �. <br />.. . � . . . � , . � . . , .,. n . �. P. i . . . I .� r � � .1� v�r I�� <br />:Y� �1� �,��. <br />/ ACKNUWLEDGEMENi OF CONDITIONS <br />�j ���-,�/ � / f lhe wtdersiqnrd ownedappl¢anl hereby egrees �o holtl nnd sava harmles�. <br />�, !/ /{' %"�� __ /' / the Ctly ol Everetl 6om any ond all cleims for Aamages, cos�s. eKpenses, or <br />� cnuses ol aclion ih�; ���e erise Mfcnuse ol installation end meintanance ol <br />Ap rovetl for Cons/tr chon/ Da e y �` ihe nnprovemenl oi otfs� nght-of-way use hereto applled for antl 1Wher agraes <br />./ /1 /1 /I lo remove sart.e u[�n notice Imm the Cily end lo replace publlc propaAy <br />n l �'�� � 1- dama ed �herab . <br />. /_`). /Ct/F� La.l��Jt� -- � 3 -� 7 --- - 9 Y <br />F iNAI. INSPECTION Date (� ` <br />npproved as Consiructed �\ ,) '\\ � A � 1 <br />j 1\ ✓ �wM/� <br />Sgna� re o� Applicanl Deta <br />WORK AUTHO�iIZ[D BY THIS PERMIT MUST BE STARTEO WITHIN 180 DAVS OF DATE PEPMIT IS ISSUED AND THGREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLE710N 1 HIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANV STOPPA6E OF WORK ON THIS PROJECT CNER BO DAYS DURATION. <br />