4919 EVERGREEN WAY OLSONS 2018-01-02 MF Import

Date 6/27/94 I Pu01it Works Parmlt� -`�4 f�Z� . emy.oeo��+ � Application For r„� PUBLI� WORKS �ERMIT PubTotalFeBFee s Q Less Appl Fee Paid $ op_ pBalance Oue S I � Print or Type Only � o 0 0 �jQ�%ny �p2 -32Z�{Ol �.3/ ¢ [J O Cd � �O [� 1� :; .a M CJ TERRANOMICS 320 lOSTH AVENUE"N.�,��i�ITE 406 BELLEVUE, WA 98004 450-2405 Mailing Addr s� � o o� City Zip Phone � Owner � o �'� o w i� BARGHAUSEN CONSULTING ENGINEERS 1�15��j1�l�jFz,SO KENT, WA 98032 251-6222 Applicant Mailing Address City Zip Phone Describe Proposed Work �CAVATE APPROXIMATELY 5 400 CY EXCESS FILL MATERIAL AND PLACE ON SOUTH END OF CLAREMONT VILLAGE FOR PARKING LOT REGRADE. DISTURBED AREAS WILL BE HYDROSEEDED AFTER WORK IS COMPLETED. � -1 I ) ��- •t C r - ! �Project Address lif known� NE CORNER EVERGREEN WAY AND WILMINGTON �� Altach four(4)copies ot plans for proposed work- Draw to scale and note the lollowing as applicable: � • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicale North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities � Show measurements � DO NOT WRITE BELOW THIS LINE � PERMIT CONDITIONS � 1.All calls for Inspection shell be made 24 hrs.in advance-phone 259•8810. 2.All work shall be performed in accordance wilh this permit and current City of Everett Design and Conslruction Standards and Specifications. � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424•5555. �f �r,�+�+bc.� ls�nd:��t� -6a rr..►�ra�+ or s�+�el b� r��a�cd O '� n�AnlYw �. S�Gcr'�fcs��ons. / �..� S /1�.d%�'y �ras,`� ca+, �•,,,� ;�F na�rary as r e/ f�6!l�u.�vks N ��s�ccfo�s-di`rto��a-+ ,y� �;�/�. O � . � �r ,�P�r� �v��" � t•� 7-��q� a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- � /li 0 �A � less the City of Everett Irom any and all claims for damages, costs, �y/ ezpenses, or causes of action that may arise because of installation �'�1 e� and maintenance of lhe improvement or other right-of•way use hereto < applied for and further agrees to remove same upon notice trom the Appro d for Co cti Date d to eplace pu �c pr erty damaged thereby. y�.�� - _-- i- i � -5�— ,,,. �� n0 ` �-2�-9� FINAL INSPECTION Date Date . Signature of Applicant Approved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITH N � PUBLICWORKSDEPARTMENT 780 DAYS CF DATE PERMIT IS ISSUED AND THEREAFTER IS TO �A�� 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everelt,WA98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259•8810 PROJECT OVER 90 DAYS DURATION.