7113 LOWER RIDGE RD 2016-01-01 MF Import

� Date��! �'— � '� Application For PUBLIC WORKS PERMIT Print or Type Only Describe Proposed Work Project Address (if known) Address � City ?iP PULIIc Works Pnrmil • � � � � / eiaa oeni.. __ �� �7� Pu�IIc Works Fee To�al Fce � Less Fppl. Fao Paid � Balance Due $ Z-�' � Attach four (4) copies of plans for proposed work � Draw to scale and note ihe tollowing as applicable: ! Property Lines • Centerline of street • Cutline and dimensions of all existing and • Ind;cate North pioposed siructures on the lot • Show any proposed grading changes •��xisting and proposed utilities • Show measurements Pnone PERMITCONDITIONS • 7. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. 2. All work shall be performed in accordance vvith ihis permit and current City of Everett Design and Conslruction Standards and Specificallons. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-$00-424-5555. �c.u�' 11/`�� /`li �d Approved for Consiru 3fon Date 1 � � / `/� — cv�— �-" �� /u—IU F�NAL INSPECTION Date Approved as Consiructed everett PUBLIC WORKS DEPART�dENT � 32UOCedzrStreet Everett, WA 98201 Phone: 259�8810 ACKNOWLEDGEMENT OF CONDffIONS W � �w _ / � 0 The undersi�ned owner/applicant hereby a�reea to hold and save harm- less the City of Everett trom any and all claims for tlamages, costs, expenses, or cacses of adion that may arise because ol installa�ion and mainteranr,e of the improvement or other right-oFway use herelu applied tor and lurther �grees to remove same upon notice from the City and�[o replace 9ubl' p�operty damaged theieby. �v.��,��c ��-rppucam Date WORK AUTHOfiiZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAfTER IS TO BE DILIGENTLY PURSUED TO �;OMPLETION. THIS PERMIT MAr 8[ CANCELLED BY THE CITY UPON ANY STOFPAGF OF WORK CN THIS PROJECT OVER 90 DAYS DURATION.