Laserfiche WebLink
L� • �s'L�lT <br />PUBLIC WORKS PERMIT Dzte: OB/26/2010 <br />Public Works Permil #: PW1008-035 <br />City of Everett Public Works Department ��� <br />3200 �f3r Street a-1��-�'��'�� i�JS Baildinp Permit #; B1008-01g <br />Everetl,�VfA 982G1 F'EG 1 ��j�ninp Reference tl: ~ <br />(425) 257-8810 i;l <br />f'EFMIT Nn.liu(?Jl4 Public Works Fe�� 9: $ 25.00 <br />_ _. Cther $: <br />OWNER NAME AND ADDRESS: ����� <br />NARRISON CASEY 1 � �' <br />1l <br />2216 116TH ST SE ���v <br />EVERETT WA 98208 <br />PHONE: 4253889829 <br />fAX PARCEL ID q 28052900200900 <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION <br />APPLIQ4� NAME AND ADDRES3: <br />� <br />54.50 <br />$5�:_'_ b <br />�5«.7b <br />PHONE: <br />SITE ADDRESS: 2216 116TH ST SE <br />PERMIT CONDITIONS <br />7. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be periormed in accordance with lhe permit and current City of Everelt Design and Conslruction Standards <br />and Specifications. <br />3. Call Location Underground Service AB hrs before you dig. TOLL FREE NUMBER 8�7 �- <br />4. Downspouts need to discharge to splash blocks or to a shallow infltration ruck sump. <br />5. Install erosion control measure per City of Everett Standards for smali parcels. <br />6. No dirt, mud, rocks or debris to be iracked onto roadway. <br />TO POSTING �% <br />ivo ,�'E-��iE3% �� �iCii,QG <br />N�' nvr«S ��'fF����'� <br />���,,�sz � -.�,� <br />Appro ed for Construction Date <br />'ECTION Date <br />es�m�d �7��� —� <br />W <br />H <br />r� <br />� <br />� <br />� <br />ti <br />z <br />0 <br />� <br />� <br />0 <br />a <br />/�/��CKNOWL D EMENT OF CONDITIONS <br />The undersigned owner/appUcant herehy agrees lo hold and <br />save harmless the City o( Everetl from any and all claims (or <br />domeges, costs, expenses, or causes ol ection thet mey arise <br />becausc of instellalion end maintenance of the �mprovemenl <br />or other right-ol-way use hereto epptied lor end further egrees <br />lo remove same upon notice from the City and to replace <br />public property damaged Ihereby. <br />:����, �-1—`�.J� �j-13-�� <br />Signalure of Ap��icanl <br />�ate <br />WORK AUTHORIZ[D �Y THIS PERMIT MUST OE STARTED WRHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY <br />PURSUED TO COMPl.FT10N. TIIIS PERMIT MAY BE CANCELLED BY THE CTfY UPON ANY STOPPAGE OF WOkK ON THI� PRO]EC7 OVER 90 DAYS DUf1Al70N. <br />