5824 LOWELL RD 2016-01-01 MF Import

,-, , -'' `6 Date Applir,a�ion Fcr PUBLfC WORKS PERMIT Print or Type Only � Pu�lic Wo�ks Permit • emu� oai�c. r _ Publm Worka Feo �otel Fec � Less Appl. Fee PaiO $ BalanceDue 5 Applicant Describe Praposed Work Project Addiess (il known) � ' � Attach lour (4) copies ot plans tor proposed work - Draw to scale and note the following as applicable: • Property Lines • Ou�line and dimensions of all exis�ing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indicate Norlh • Show any proposed grading changes • Show measurements Phone PERMIT CONDITIONS 7. All calls for inspection shall be made 24 hrs. in advance - phone 259•8870. 2. All work shall b= pedormed in accordance wilh this permit and current City of Everelt Design and Construction Standards and Specifications. 3. Call Location Underground Serv�ce 48 hrs. before you dig. TOLL FREE• NUMBER 1-800•424-5555. ��>,r3��G ��:��,�5 /��=�. ;>�;T tiuT ,�'cl'�,�,�:x--r� Approved for Construction - Date FINAL INSPECTION Date Approved as Constructed everelt PUBLICWORKSDEPARTMENT � 3200CedarStreet Everett, WA 98201 Phona 259-881G ACKNOWLEDGEMENT GF CONDITIONS � �J The undersigned owner/applican� hereby agrees to hold and save harm- less the City ot Everelt trom any and all claims tor damages, costs. expenses, er causes of action ihat may arise because of installation and maiMenance of the improvement or other right-of-way use hereto applied for and lurther agrees lo remove same upon notice Irom the City and to replace public properry damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY TFiIS PERMIT MUST BE STAflTEl7 WITHIN 780 DAYS OF DATE PERIv11T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PEAMIT MAY 8[ CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORk ON THIS PROJECT OVEP 90 DAYS DURATION.