6307 ELLIOTT WAY 2016-01-01 MF Import

G`� -�z�s Dafe 11-17-93 / � �� P�STING 4-IIr �CI� PubGCWorMSPermil� �i,3� AppliCationFor eiae.oeui., /F2�-�0 PUBLIC WORKS PERMIT PUbToIalFeaFee s Less AopL Foe Psid S Print or Type Only ea��eo�e a �� Owner Mailing Ad ress ity ip Phone Ihan e r Applicant Mailing Address City Zip Phone Describe Proposed Work ... �,,,,, e Lot 3 short plat 32-91 Project Address(if known) (0 3D7 ��i K� � Attach four(4) copies ot plans tor proposed work- Draw lo scale and note the lollowinc�as applicable: � • Property Lines • Cenlerline of street � � Outline and dimensions of all existing and • Indicate North proposed structures on the lot � Show any proposed grading changes � Existing and prcposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � 2.All work shall be periormed in accordance with this permit and current City ot Everetl Design and Construction Standards and Specifications. � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-Q24•5555. � O � � O - a ,�G�; ACKNOWLEDGEMENT OF CONDITIONS r The undersigned owner/applicant hereby agrees to hol�and save harm- less the City ol Everett Irom any and all claims for damages, cosls, expenses, or causes of action that may arise because ol installation C� ��✓ Z 3 �f and mainlenance of ihe improvement or other right-ohway use hereto � applied for and lurlher agrees to remove same upon nolice from the Approved lor Constyuction �a�e City and ro replace public property damaged thereby. ��`�� s Y ��— / tn ,� , / FINAL INSPECTION Date n�`� � � ��' ��1� �3 Approved as Constructed g�ature ol A licant Date PUBLIC WORKSDEPARTMENT ORK AUTHORIZED BY IS PERMIT MUST BE STARTED WITHIN 3200CedarStreet 80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everetl,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:259•8870 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.