Laserfiche WebLink
PUB�.�c woRKs <br />PE:�MIT <br />PU�LIC WORKS DEPARTMENT <br />3200 C3Jar Slrecl <br />� Everclt, WA98201 <br />(425) 257�8910 <br />OWNERNAME f �il�.� ,.r , �,b'i. <br />ANDAD�RE55 l�,i�.• ' „ <br />'�,t,'. . , .. <br />i�'_��1, . �,,, <br />Pr10NF: 'i..': . .1 '� . <br />ID � <br />Il[SCf11PTIONOf j � , i �: <br />1'HOPOSED WOf{K � ' <br />PERAIIT CONDITIONS <br />APPLICANT N� <br />AND ADDRF SS <br />PIIONE <br />Dai� • , <br />Public Works Pcrmi� w � ��� � <br />puilAing Permit M <br />Planning Rclarnnce n <br />Pubht Works Fen 5 <br />Guaran�e� E <br />IPROJECTA�DRCSS . .. . _,��1 : . .>Pi <br />I )';iti: — 11'�1�; .' .. :� Y.1l.�'.' <br />1. Atl calls fOr mspechon shall b� meile ?4 hoins m.idvnnc� - phone �4?5) 757�l1fl10 <br />2 All work shall be perlonnr.0 in ar,r,ord,incr wdh inis pr.rmd und current Ciry o' Lveretl Det,�yn and Conslrw:tion <br />Star.dards and Specihcai�ons. <br />3. Cell Lor.alion Undergiound Service 48 his. beloie you d�g TOLL FREE NUMBER 7-800•424•5555 <br />. , , � � � � � , � ., . � , , .,, . <br />�'�� � _ 4- l�-o� <br />Ap�tirm�itl��rtGnr�ti�nir.on D�In <br />,�,Ke � � � ' � -2¢-�� <br />FIhhL INSPECTION <br />appurvwf es Cmsnuc�eU DAIN <br />ACKNOWLEDGEMEN�i OF CONDITIONS <br />`W <br />= <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />� <br />� <br />O <br />a <br />The underslgnrtA ownec'app�lcan� hereby ngrees to hoid and <br />savc hnrmless the Gty ol Evnretl Irom nny and all claims fui <br />dam�gos, msts, evponses, o� causes ol action thal mny anse <br />bxausa ol Inslallntion and mninlennico ol the Impravomenl or <br />olhei righbobwny use hcretu npp6etl lor end lutlher pgmes la <br />ove sxmc u�bn nolico Irom Ihe Ciry end to roylace pub6r, <br />prop da aycd Ih <br />ti ��7.�Jtt _ '� � �'�02.. <br />, iqnaiurp el A��bcdm DHIe <br />WOIIK AUTHORIZED OV iH15 PERMIT MUST PE STARTF.O WITHIN 190 UAVE Of UATF PERMIi I i ISSUFD �.iVD TIIFRFAFTF.R IS TO BE D�LICENTI Y PUN��.� q(� <br />TO COMAlF710N TIIIS PEf1Mli MAY Rf CANCR I fJ HV IHF CIiV UP011 r1NV SiOPPAG( 01 WOfiN ON TNI$ P(70-IFCI OVGfl 90 DAYS OURA710N <br />