7308 LOWER RIDGE RD 2016-01-01 MF Import

� Date��`�u' 6 Application For PU�LIC WORKS PEPlMIT Print or Type Only Mailing Oescribe Proposed Work Project Address (if known) .-, Pu01ro Works Permit a ��%� BIdB�Oepi.+ 8�,�9-V-�Lf-- Public Works Fea Tolal Fea � — Less ApPI. Foe PuiO $ Balancn Duo Fi civ Attach four (4) copies ot plans for proposed work • Draw to scale and note ihe following as applicable: • Properly Lines • Centerline of stree� • Outline and dimensions of all existing and • Indicate North proposed siructures ai the lot • Show any proposed grading changes • Exisling and proposed ulilities • Show measurements '-� Phone PERMIT COND TIONS 1. All calls foi ins��ection shall be made 24 hrs. in advance- phone 259•8810. 2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and Constructior� Standards and �pecifications. a. Cau Location Underpround Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-5555. /" l/�� '6`�C//i �`� Appwved lor Construction Date FINAL INSPFCTION Date Approved as Consiructed everett PUBLICWORKSDEPARTMENT � 3200 Cedar Slreet E��erelt. WA 98201 Ph-.�e 259-6810 ACKNOWLEDGEMENT OF CONDITIONS W � �w _ / � � � � O a The undersignzd owner/applicant hereby agrees to hold and save harm- less the Ciry of Everetl Irom any and all claims for damagzs, costs, ezpenses, or causes of aciion that may arise because of installafi�n and maintenance of �he improvement or other right-obway use he2�o applied lor and furiher agrees to remove same upon notice from ihe Ciry and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED ANU THEREAFTE(i IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED F1Y THE CITY UPI�N ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.