3327 COLBY AVE 2016-01-01 MF Import

�81Q � � Pup4c Wo�k�Permtl• __ _ AppIiG6�ion Fo� Bieo DeW • __ _ PUBLIC WORKS PERMIT P�n;o,�K`e� S __ �.z,.�o��..o<,a s — Print or Type Only Pa r� �n„� s _ ��.�.lPn �nP wner Madmg Atldress Cdy 7�p Phone ApphcaM Mading Addiess City Zip Phone Descnbe Proposed Work �� t ' ,/l � Prolect Add�ess(il kn�wnl ✓V � .�.L� � \� Atlach lour(4) copies o1 plans for proposed work� Draw to sw�e and nole Ihe following as apPlicable�. � • Property Lines • Genledine ol slreet � • Outlme and d�mensions ol all ex�sting antl • Indicate Norih proposed struchlres on the lot • Show any proposed grading chenges • E�istmg and proposed utilAies • Show measurem�ets � DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1.All calls tor inspection shall be made 24 hre,in advance-phone 259•8810. � 2.All work shall bs pertormed in accordance with ihis permil and wrrent City of Everett Design and Consiruction Standards end Specificatione. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE HUMBER 1-800•424-5555. � �- �� .��i��.- � ia/��a F- �,,yo.frv�-,�.�- /1�0�ov�.,. .5'o7a o� � �to�i�•� !/a.�ira'�ei,-Y, SSs-78 p�pt,s .vc� u�f , O a ACKNOWLEDGEMENT OF CONDITIONS _ The undersigned owner/appGtant hereby aqrees lo hold end save harm� -- less Ihe City of Everetl Iwm any and all claims lor damagee. costs. expenses, or causes ol ac�ion that Ray arise because ol installation and mamtenance ol ihe improvemenl or other nght-ol�wey use hereto ApDroved for Construclion Date °pplied tor and further agrees to remove same upon notice f�om the Ciry and to replace nubhc property damaged thereh��. FINAL INSPECTION Date _ Approved as Constracted Signalure ol Applicant Dale everett PUBLIC WORKS DEPARTMENT WOFK AUTH01412EC BY THIS PEFMIT MUST BE STARTED WITHIN � 3200CecarSMeet 180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO Everell,N�A9B201 BE DILIGENiLV PUR�UED TO COMPLETION. THIS PERMIT MAY BE Phone:2f�,9�8810 CANCELLED B1'THE GTY UPON HNY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.