Laserfiche WebLink
��� <br />G�H <br />9 Hx V� <br />H Z� <br />� H 7n1 <br />"�C H'� <br />NH <br />Cs7 Q � <br />ry <br />ON <br />H�g <br />n • cC� <br />9 H ti1 <br />� <br />t�y yH <br />Q H <br />� Ci �n <br />G� <br />z y �n <br />r]OV� <br />Date �-1z-91 T(1 Pf1�TINfi <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Tqpe Only <br />�'L� Pu0LC1Ym�SPmm�l � I G.� C��'J � <br />eiaq oem + <br />Puo�¢worksFee S <br />iotal Fea <br />Lenf �uo� Fae Pa�O S �� �� <br />Baian�e �ue S — <br />Everett 99201 259-1245 <br />Steve� Griffin 1821 Broa3way pnone <br />Owner <br />MmlinqAddress;, City ZiP <br />DBA Broadway Hardware �� . , <br />Mailing Address City Zip Phone <br />Applicant <br />Describe Proposed Work PaYking I/�t <br />Prolecl Address (il knowc) io<o r�cw� �-- <br />Attach lour (Q) �opies ol Plans br proposed work � D�aN• to scale and note ihe tollowing as applicable: <br />• Properry Lines <br />• Outline and dimensions ol all existing and <br />proposed structures on Ihe lot <br />• Existing and proposed utililies <br />• Centedine ot street <br />• Indicalc North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 Lis. in advance- Phone 259•8810. <br />2. All work shall be pedormed in accordance with this permit and current City ot Everett Design antl Construction <br />Standards nnd Specilications. <br />3. Call Loca�ion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800•414-5555. <br />5� !�'r,•.� lc h�• �1�,�.. /a•,- �,C..,.r ;r�,y�,.�; c.� . ,, <br />%i-rr !y fi,, �> .�.,�� ��:�,-,�� _s ,i�, �;� ���; y 4 f�- .-�_ . � <br />�•r�rn 'Y/ (/ , ) <br />/��C4" y / —/ '/ G <br />qpproved lor onstryclion Date <br />��..1:��<:�� �/� � . <br />FINAL INSPECTION Da�e <br />qppwved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Sireet <br />�E�rr Everett. WA 98201 <br />Phone�.259�8010 <br />ACHNOWIEDGEMENT OF CONDITIONS <br />W <br />� <br />_ / <br />� <br />O <br />`"' <br />V♦ <br />O <br />a <br />The untlersigned owner/2pplicanl hereUy agrees to hold and save harm- <br />less the Cily ol Everett hom any and all claims for damages, costs. <br />ezpenses, or causes ol action Ihat may anse because ol installation <br />and maintenance o� the impwvemenl or other ngh4o��way use hereto <br />applied lor and further ac�rees to remove same upon notice irom the <br />Ciry and to rep ace pu6lic property damaged thereby. <br />� i � <br />Siynature o( App�ic t Date <br />WORK AUTHORIZ D BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERM1IIT IS ISSUED AND THEREAFTER 15 TO <br />BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANC[LLED BY THE GTY IIpON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />