7031 LOWER RIDGE RD 2016-01-01 MF Import

oate. �� -3 Application For PIJBLIC 1f1/ORKS PERMIT or Type Only Describe Prup.�sed Work Project Address (it known) - 1 Public 1Vorke Fe�mi�?� � � — ELryoeo�.• �1 � � Public Wo�ks Fee 5�� Total Fee — Less AppL Fee PaiE $ Balanca �ue $ �� ' tl O Mailing Address Cily Zip Phone >d7 —i Address � 29 d �-( � -- 9 3 �2-- Zip Phone Attach four (4) cc�ies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any propesed grading changes • Existing and propesed uti�ities • Show measurements PERMIT CONDITIONS t. All calls for inspection shall be made 24 hrs. in advance - phone 259•881 5. 2. All work shall be performed in accordance wUh this permit and current City of Everett Design and Ccnslruction Standards and Specifications 3. Call Location Underground Service 48 hrs. before you dig. TJLL FREE NUMBER 1-800-424- 7555. �,! lp�o�.�- �..9 �.,��-,-, i.o �� s,at �iA.. �.pP'v.,.9 �-s�-�� �4 FINAL INSPECTION 1 \ \ Approved as Constructed V evereil PUBLIC WORKS DEFARTMENT � 3200 Cedar Street Everell, WA 98201 Phene:25S-8815 f ♦�A V+ � � ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant liereby agrees to hold and save harm• less the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintanance of the improvement or other righhof•way use herero applied tor and further agrees to remove same upon notice from the 'ty and to replace public property damaned ihereby. ' -,� �3 � ignature of Applicant Date WORK AUTHOFIZED 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 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. �`�= .,,.�. -.... . . . �.�: � . .,��,, •.:..,. . . , � .. . ;;�.