Laserfiche WebLink
PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA98201 <br />(425) 257-BB70 <br />ANDADDRC-SS. � � -. . �.'�',j=�,-; ',,,. <br />PHONE: <br />TAX PARCEL I.D.N <br />- I :�� :•i�l�. <br />_. .._. ..... .. .. <br />DESCRIPTION OF . <br />.. _ . .... . . . . . . . . <br />PROPOSED WORK: � � � , ` � ' <br />PERMIT CON� ITIONS <br />APPLICANT NAME <br />ANDADDRESS: <br />PHONE <br />PR0.IECTADDRESS: <br />Date <br />Public Works Permi� N <br />Builo,ng Pormit k <br />Planning Re�erence x <br />Public Works Fee S <br />Guarantee S <br />1. All calls for inspection sha�l be made 24 hours in advance. <br />2. All work shall be performed in accordance ��ith this permit and current Cily of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Localion Underyround Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />. �„ . .. .r i i � . �,i � ,. . : . . _ _ . ... . _ . <br />_�iai:�, ie z� 4R" va!rr tcan;smis��cr ,:i,< �n.' .,. ' v:,.,. , <br />-•_�:t. T�IaY? W3t?C S33I19 f6LL3t ha �n�:3L?.'. i:l•1 :t3L'i:.'d GL".- '. :._��,=1��:1.. <br />:nstall rurb k�ult�-ou*: at ti:; sauth end oi tha Fr:�tw�seci s:�iit1: ph::::t�;;_,'R�:-"::: <br />��7�0� v�.hi�-ie� in fira� stail fc�.�r, rhe n�,cth-b�'��.ind tr:�ff<_c• ,, . <br />t1 .-s�•av,re.ri mnCr�rial f��•m . ,,^rlarion, +.d•��+alk �.,nd !!eivFw:ys sh;�'' .. <br />�.�._,�•�ad ;•�emitre�i s;r�. :6, •.ia-r;no ,f m3`nr231 i.� all^;rwi c.•: th+: raiidin^ • <br />..: �11C� IdLC�� Li•ti�C� OL �7��t•Cl$ LV l•2 CYii^KECI OIi*? Lo�i1N9}'. <br />ti;, hui:dinn materials t�� he staekp�i on �i�ievalka :an�i r�Sd.�aiks � b� k�.:�,* <br />;�F•n far p:,d�vt i� al tra�<< i �7. <br />..JL�i i�� �: C�O;I"C �'EL 3j�F`C'-i{':j p1aR? �..... _.. _ . -i';.._. '. . . . -� I"��; <br />���`. <br />' ' , - . . . . i� ,.-i <br />✓.�• ` C �� �� <br />• t. C lc.- <br />� Appro,etl orConslmction D�t <br />FlNALINSPECTION <br />Appmved a5 Constmtted Dato <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicanl hereby agrces to hold and <br />save haimle �Ihe �i�y ol Eve�etl Irom any end all claims for <br />damages. �is, ez es, or causes ol action �hat may arise <br />because I st Ila�io nd main�enance ol ihe improvemen� or <br />olher rig t-o w us reto applietl lor and furiher agrees to <br />remove ame n t e from Ihe City and �o replace public <br />property amag t r <br />t <br />, jl.'//�� <br />Signalure of App� ate <br />WORK AU7HORIZED BV THIS PERMI7 MUST GE START[D WITHIN 180 OAYS OF DA7E PERh11T IS ISSUED AND THERGAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PEPAf17 h1AV FiE CANC[LL[D OY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJLCT UVER 90 DAV$ DURATION. <br />EP1VP �iiOG) O�TABAq, INC. <br />W <br />� <br />,�A <br />V/ <br />! � <br />� <br />Z <br />O <br />� <br />� <br />O <br />� <br />