Laserfiche WebLink
8 ' <br />APnhcation fa <br />4AFff PUBLIC WORKS PERIVIIT Dale- September 9, 1997 <br />PUBLIC WORKS DEPARTMENT = Public Works Permit N 97/289 <br />3200 Cedar Street <br />Everett. WA 98201 259-8810 Q Buildina Permit k <br />V_.- <br />TYPE OR PRINT ONLY o• o Public Works Fee E 25.00 <br />�as�8 gN - - <br />William Duesenberg 12350 Northup Way;? a N Bek&vue WA 98005 (425) 861-8292 <br />Owner Mailing Address Clty r Zip Phone <br />Same <br />Applicant Mailing Address iz,L City Zip Phone <br />O a O l • r - <br />Describe Proposed Work Clean up brush and garbage on property. <br />_„ ­1'IK <br />PROJECT ADDRESS (i known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />"Property Lines 00utline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North *Show any proposed grading changes IiShow measurements <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed In accordance with this permit and current 0ty of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />i <br />zz <br />13N' <br />UN <br />ILI I� <br />5. Keep City streets clean at <br />all times. <br />6. Re -plant area with grass seed <br />after clearing. <br />� n riot C LC4"e Ih <br />N <br />CLenred <br />I /z St Ste Qrush¢d . <br />W <br />H <br />ca <br />0 <br />z <br />0 <br />v/ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The •,ndersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, of <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public proparty <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION <br />