6930 COLBY AVE 2016-01-01 MF Import

r L� i �. Dat�� y Application For PUBLIC WORKS PERMIT Print or Type Only Applicant Mailing Address Describe Proposed Work "�� S��G� Project Address (if known) 3v City PUDIit Workn Permit s v� I� emc.oeai. 02 O a2 `/ PuEncWorksFae s �'l O o.� TOIeI fea rr LeaD AoO� Fea PaiE S '7 o •j 9alance �ue S L7t 0 Atlach four (4� copies of plans lor proposed work • Draw to scale and note the tollowing as applicable: • Property Lines • Centerline oi street • Outline and dimensions ot all existing and • Indicate North proposed slruclures on the lot • Show any proposed grading chanpes • Existing and proposed utililies • Show measurements PERMIT CONDITIONS 1. AII calls lor inspeciion shell be made 24 hrs. in advance • phone 259•881 5. 2. All work shall be pertormed In accordance with this permit and current Ciry o( Everett Gesign nud Construction Standards and Specificetions 3. Catl Location Underground 5=rvice 46 hrs. belore you dig. TOLL FREE NUMB'eR 1•B�U•424•5555. Approved as Constructed '�� everett PUBLIC WORY,S DEPARTMENT � 3200 Cedar Street Everetl, WA 98201 Phone'259-8875 3 ACKNOWLEDGEMENI OF CONDITIONS � � � �r • J � � O a The undersigned owner/epplicant hereby agrees to hold and save harm• less the City of Everett Irom any and all claims for damages, costs, expenses, or causes of action thet may arise because of installation and maintenance ol lt�e improvement or other right-of•way use hereto applled lor and lurther agrees to romovo same upon nolice Irom the City and to replace public property damagzd thereby. re of Applicant 4 �Date � WORK AUTHORIZED 8Y THIS PERMI7 MUST BE STAFTED WITHIN 180 DAYS OF CATE PERMI7 IS ISSUED AND THEREAFIER IS TO BE UILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLFD BV THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. � � 1 r