6926 COLBY AVE 2016-01-01 MF Import

Date�� Application For PUBLIC WORKS PERMIT Print cr Type Only Applicanl Describe Proposed WorY. Project Address (if known) Address �3�0-fOf�iS� Meiling Address ''�'y Aftach four (4) copies ol plans for proposed work • Draw io scale and nole the following as applicable: • Property Lines • Outline and dimansions ol all existing and proposed structures on the lot • Existins and proposed utilities PERMIT CONDITION3 Pubbc Works Perrmit • t� Bitlp. Deot �—U �� 7 d G G Public Worke Fea iolal Fea s lees Appt Fee Paitl S Beience Due 5 • Centorline of slreet • Indicale North • Show any proposed graG'��g changes • Show measurements Phone 1. All calls for inspectlon shall be made 24 hrs. in advance • phone 259•881 5. 2. All work shall be perlormed in accordance with this permit and current City ol Everett Design and Construction Standards and Specilications. 3. Call Location Undorground Servi�e 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. f�Ur.�GiG Cuor�..�s' P�'F�T' .Uan �f'Fq�.�'� for Cons�ruclion Date FINAL INSPECTIUN Date Approved as Con;tructed everett PUBLIC 1NORKS DEPARTMENT � 3200 CeGar Street Everett. WA 98201 Phone: 259-8815 3-s 97 �"�' ACKNOIYLEDGEMENT OF CONDITIONS W � � � O H � � a The undersigned owner/opnlicant hereby agrees io hold and save harm- less Ihe City of Everetl irom eny and a�l claims for damages, costs, ezpenses, or causes ol action that may arise because ol installation and maintenance of the impiovemenl or other right-of�way use hereto applied (or and further agrees to remove same upon notice fwm the City and to replace public property damaged thereby. Signature of Applicent Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCFI_LED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO.'F�T C.�VER 90 DAYS DURATION.