Laserfiche WebLink
PI�BL,IC WORKS <br />PERMIT <br />PU�LIC WORKS DEPARTMENT <br />3200 Ceda� Slrcel <br />e���ou,wnsozo, JUN 19 <br />�Qzs�zs�-a9'� �QSiING <br />owNEr�Nar.ae LhNE FA24ZLY PARTI,'Ek5HIP <br />AIJD ADDfiESS: <br />B?8 GF�1ND A� <br />EVEFETT WA <br />PHCNE: <br />Tnxrnnce�i.o rc �805�i7ij03nU7�ii,� <br />oEsc�irrioNOF q�ig;., ;q�r�,n'1 i}PDITI�?A <br />PROPOSED WORK'. <br />PERMIT CONDITIONS <br />oa�e toi 1u; �ou3 <br />Pubtic Works Permi� n yWp31U-U ::i <br />�uilding Permit B <br />Planning Refcrence l+ <br />4Public Works Fec 5 <br />Guarantr.e S <br />ANDADDRESSt '�iJ�F�.3 YP.FYZPSOtt <br />48:;�JJ <br />PHONE� -r.:�r.-�-. <br />1:.._.��1',, <br />PROJECiADDHE55' <br />�eni:, r����:r,��Fr <br />B0310-i�lE <br />51_S.Du <br />I. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with Ihis permil and current Cily of EvereU Design and Cons�ruction <br />Standards and Specificalions. <br />3. Call L�cation Underground Service 40 hrs. belore you dig. TOLL FREE NUMBER 1-EJO-424•5555 <br />;. A� �•,-�[ a�nrov_�+ �;i,in �i�*ed il-]-G'. <br />11-14-03 'v:��F'1i <br />N 0310018 <br />BUILC� ?180.9` <br />SRCFIG 4 50 <br />tf 031i0G:_` <br />5EWER 30.GG <br />11 Q31001� <br />OTHrfi 50.00 - h n� <br />OTHCR +J.UG - S.T <br />F'W/RUW 20,00 <br />f'W/I!;SP �D,GO <br />-i'Ol AL �350.45 <br />( :1-8 � �;: <br />A U�t�,r+3q <br />(y,� ��DO ACfWOWLEDGEMENT OF CONDITIONS <br />v�. 7he undersigned ownedapplicant hereby a9recs to hold and <br />save harmless ihe City ol Everett from any and all claims for <br />tlamages, costs, expenses, or causes of action that may a�ise <br />because ot fnstallation and maintenance of the improvement or <br />other righbof-way use hereto appticd lor and lurther agrees to <br />remove same upon nptice Imm the Ciry and to ieplace public <br />operty damag d t r�y. ��� <br />N�� <br />gnalure , A phcanl Dale <br />� <br />VJOF�( AUTHORIZED BY THIS PERMIT MUST D[ SL�� :O WITHIN 180 DAYS OF DATE PEPMIT IS ISSUEC AND T�IEREAFTER IS TO BE OILIGENTLY PURSUED <br />TO C01.?FLGTION. TFIIS PERId1T h1AY oE CANCELLED BY 7HE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� <br />W <br />� <br />W <br />� <br />� <br />� <br />