308 CROWN DR 2016-01-01 MF Import

Date�Li�L� P„��w��.z P�,m� . Application For oiaa o�o� , _ PUBLIC WORKS PERMIT PublicWorksFce .a�e�F�o s less Appl Fcc PeiJ $ Print or Type Only Bairnce0ue s C�u��s11� �'s C`r�LLn ,dr �� -�� Owner Madingl�ddress Ciry 2ip Phone � �. � uY►�. �� Applicant Mailing Address City Zip Phone ///�� ' J i Describe Proposed Work I I �Y .L� �� ProjeCt Address li! known) l�,�,� � A;tach four(4�copies of plans lor proposed w�rk• Draw to scale antl note Ihe follo�ving as applicable: � • Property Lines • Centertine ol siree� � • Outline and dimensions of all axistinq and A Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utililies • Show measurements � DO NOT WRI"E BELOW THIS LINE PERMIT CONDITIONS O t.All calis for inspection shall be made 24 hrs.in advance•phone 259-8810. � 2.All work sha�l be pedormed in acco�dance with this Germit and current City of Everett Desiyn and Construction Standards and Specilications. 3.Call Location Underground Service 4B hrs.oefore you dig.TOLL FREE NUMBER 1-$00-424-5555. � i� �'O�i r8=,� O . L /a� 5-88 �"' � O a ACKNOWL[DGEMENT OF CONDITIONS The undersignetl ownm/applicant hereby agrees to hold and save harm- less Ihe City of Everetl Irom any and all claims lor damages, costs, expenses, or causes of action Ihat may �rise because ol installalion and maintenance of the improvement or other nght-ohway use hereto applied tor antl lurther agrees b remove same upon nolice trom ihe Approved lor ConSVuction Date Cily and to replace pubGc property damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature of Applicant Date everetl PUBLIC WORKSDEPARTMENT WORK AU?HORIZED BY THIS PERMIT MUST BE STARTED WITHIN � 3200CedarSireet 180 DAYS OF DATE PERMIT �S ISSUED AND THEREAFTER IS TO Everett.N'A9B201 BE DILIGENTLY PURSUED TO COIAPLETION. THIS PERMIT MAY BE Phone.259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PFOJECT OVER 90 DAYS DURAil011.