Laserfiche WebLink
PUBLIC WORKS <br />PERMIT <br />O;L <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Dale 1U/Z(!�/_ q <br />Public Works Permit a (M J /? 13 <br />Building Permit It <br />Planning Reference a <br />Public Works Fee S �G <br />r <br />Guarantee $ <br />ANDADD ES /�G{ 7_ 1, leis I J AND ADDRESS <br />OWNER NAME <br />CMNJ V APPLICANT ME <br />303 iA PL�'51 <br />PHONE. evmj-4- " _I 8 PHONE <br />TAX PARCEL I.D.a PROIECTADDRESS 2) C1Iy4 ..7C..c C <br />DESCRIPTION OF <br />PROPOSED WORK. �,( A, J G _JLJ U r- yl I VL wo.v.1,,( <br />('.U4� c:�t T.Lt- s(dewAlk <br />12mviour pefm'f raYtdcUHPlcbc <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hcurs in advance -phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424-5555 <br />4. <br />C,As not -&v dkceed 3' aN prv?ef&" IN-e. - excAvait6 <br />mA of -I l ( Wwit be. (now l&4 io <br />Aeproaed <br />t W�/j�cc(�clA <br />sAe . <br />yaaV <br />eAci Ak ZH <br />:1v, <br />ARnreved for Cone Date <br />FINAL INSPECTION <br />Approvea as Cmstrwled Data <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett Iron any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of Installation and maintenance of the improvement or <br />other right-ol-way use hereto applied for and hfdher agrees to <br />remove same upon notice from the fly and to replace public <br />hereby property damaged t. J / i <br />�✓a_ /o _9� <br />Sgnatme p'a tant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BF STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY RE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />W <br />H <br />00 <br />0 <br />z <br />0 <br />h <br />0 <br />a <br />