|
. L _ ,�,�,_�qli�
<br /> P���I�I �O���4�i�i=il; ,!.tl PublicWotksPe�mil�tti4IG4'00[�
<br /> P�R�IVIIT '"' .� c�:;�;-t� _
<br /> 1.�, BuildingPermittl '�"76'2—Oi�.j
<br /> PU�LIC WORK$f�EdARTf�I@N�`.�"��. ' planning Releren-� '�
<br /> 3200 Cedar Street
<br /> Everett,WA9a201 .�., :r-,e,
<br /> (a25)257-8B70='� � "• Public Works Fe S -_ (�'?
<br /> . . �_ ,�, i�,�
<br /> . �. �.,,., '.'-�r.,
<br /> Guarantee
<br /> GVJt1EfiNAHE - . . . . .�— i �- — APPLICANTNAM�.; —
<br /> ANUnDDREASn-�,::._.. . '!.' _. . ... i .. ANDADDRC-SS �:.:
<br /> ���."�� �;. . I� �1�.. . . :.�". � .. ..
<br /> n e ..
<br /> r,m,ra,L crp, 9F��L9 ;,, �„�;. :.
<br /> . .r i�,,... . . ..
<br /> PHONE: :j,_=�'!4 y'j y i:` PHUNE: i
<br /> TAX PAFCELI.D.# PROJECTADOPE .
<br /> (��i11�74f1' .�01��:1 'i LLi�t'uP.F:D Ai%L _.
<br /> DESCRIPTIONOF -� Il�I�F.7. :� �:T9��:�'�^ .: 'i�`':�.
<br /> PROPOSED WORI�i' �� �
<br /> �\ �I
<br /> - - --- -- - - - - ----- - -
<br /> PERMIT CONDITIONS
<br /> 1. All calls for inspection shall be made 24 hours in ad ance.
<br /> 2. All work shall be performed in accordance with ih' permil and cwrent Cily ol Eveietl Design and Consiruction
<br /> � Standards and Specilications. �
<br /> 3. Call Location Underground Service 48 hrs. b�ore you dig.TOLL FREE NUMBER 1-800-424•5555
<br /> / �
<br /> -, -� � . . t � . . /iy r � .. . _ t .. , -�� �i�li ' r i : �1...��: �
<br /> � � : :1: 7 �1r � :.=..'�/ -� _j.'.�. _C,,. i._':i... . � il ;?L:Jq.. . �.L�C. __ 71T13:
<br /> . i � r � at � hr_ �- .u„t . / �
<br /> , - li <, i� .. �r� r..aY'rrr �� fr�,:� + �ur.r� ,..i,,;:, ai•ie•.:y7Y. .in:! �lrir-,•�•1 -. h'�ll I�„= b;ui)<ri * . O
<br /> 3.7 i[j`Lv. :�. F�.Llt�i _r._;1 � _' @. �e�� _.�T_li�� ^K L�ah�C.31 1: 311^'r.�•� .❑ ..�li", f•UL�C�i!77 �<° .
<br /> i Y� �x c r.•:a. � �..i . �i ! �bii;: tr t�e :�:aci'ed Il _ I:i+c�W3V. ^
<br /> . N b�:t i ix, i �n�i c�..)r r t+,e :t,^F-=d o�i coada3ti ;aiu} r,.;..:ic:.v;• k�; br Ic.t.t el�_p� a�+�a �
<br /> n t��c E ri�: tr.�.�a t.� .e� �.. �
<br /> 'I :l�Y�' '..�Ct�:l'� �t:l•"1 ri�a'rt31)' :i� CL e�:t•:• Oi �1r.:+�.i.,�t �C31'1%�:�(i t'�.:!1
<br /> . , :' �� �•_}�R : . �' ' O
<br /> � 1 5N. x. li n : 7 rh �J FC'� ' - '3��i �=r17`37� �.9 l�- Lr tcC� �� ��1'= :cisfll' €1 L� Zl::i�.r��_!
<br /> .� . �il t . rit i�-•.:a� :nz;i :�n•;- hr.,.�G..n �.r �t�,.,��.��ed :�e ., nu�? t:. i :.�„ � . !; . L
<br /> i /i'�/y
<br /> . _ 'r!_T. _ � ._ C . . -_ :.'� . . - :�,r, .r,�:'( ';_': ,�'�.` � Ml
<br /> 1 ,/ {i
<br /> - — --— ACKNOWLEDGEMENTOFCONDITIONS
<br /> � /;� The undersigned owner/applicanl hereby agrees to hold and
<br /> � /����-� +"' � /� �7 save harmless Ihe City oi Everett imm any and all claims for
<br /> i �t1 � � ��'� � � damages,costs,ezpenses,or causes ol action thal may arise
<br /> _A¢provea lor Cuns�mctiun Date ^ because of installation and maintenance ol lhe improvement or
<br /> olher righ4o�-way use hereto applied for and IuAher agrees ic
<br /> remove same upon notice Irom the City and to replace public
<br /> I FINAL INSPECTION property damaged thereby. � .
<br /> Approvnd ns Constmcled Dala � ` ',.
<br /> I _ SlgnaNre ol ApplicaN .—..— Dato� . .
<br /> \:'ORK PUTHORIZED�Y THIS PERt.11T 61US7 BE STARTED WRHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO OE DILIGENTLY PURSUED
<br /> TO COIAPIFTIOH tH15 PfRL717I,!!�Y[3L CaflCELLCU[3Y 711E CIiY UPON ANY STOPPFGE OF WORK ON THIS PROJFGT OVER 90 DAYS DURAI'ION.
<br /> 04TARNi.iGC
<br /> ���ar r.:�•�.�
<br />
|