9318 HOLLY DR 2016-01-01 MF Import

, ;. r � �'s� , .�� t NI 8 � . t� . . 4 �. ,ae. . .._�� l ...�.f.._`k _:L: �lu�'.''L?f::� � .� '� / 1 �i�Ie �/? �lt�n Pu01icV/orhsPcrmn+ �� . � eiee.vec�.,—. _— Application For - PUB�iC WORKS PERMIT PubllcWorksFcr Totnl�ee � Less ApO�Fee PaiC � Balanca0ue J �GOO Prir.t or Type Only -- Fd�X�r� f�(�CA�-�� 32.� I-bll�. �' �u�- 355- �-3�?C) Owner Mailing Address City 7_iG Phone CA2 L I�A� E�- a�J�. DAk�Es �+ �'S8�l�'i�— �� Applicznt Mailing Address City Lp Phone �� Describe Proposed Work �1 � 1=- �""��n'� l ��x�- �" �� — .v. . _ i� Project Address(it known) _ �'✓�� r��"�v� - `� Attach four(CI �opies of plans lor proposed work- Draw to scale and note the following as applicable: � 6� �roperry Lines • Centerline of street � a� nutline and dimensions of all existing and • Indicate Norlh p�oposed structures on the lot O Show any proposed grading changes � o Existing and proposed utilities i Show measurements � .m�sz�m DO NOT WRIT� ESELOW THIu IINE � PERMIT CONDITIONS t. All calis for ir�spection shall be made 24 hrs. in advance-phone 2b9•881 5. � 2. All work shall be perlormed in accordance with this permit and current City oi Everett Design and Construclion Standards and Specifications. 3. Call Location Undc�rqround Service 48 hrs. 6efore you dic�.TOLL FREE NUMBER 1-$00-424•5555. � � �� TOiiiTG � GUiT'fi� � E.Y� ;�-:��' f '_� / , , .�'i,E'�t�E � �JZO— �/oC�� � W� ""r • �,,� ;.1/66 1:28PFf OOORit139 � `"`�p �;;;'�6 � � -. ��"'� f.20 420.00 �� =Cit 420.00 9 G - r: ih��.' . � �� :JL::I:�,,EFdENTOFCONDITIONS �� .� Ut,� .� �`"�!' ,�.,, ,_. ., . � . . ��n�dapplicant hereby,grces to hold and save h�r r ��, ��y — � las mc C�ty oi cvere�t from any and all �laims lor damages, cosl�. � ± `��4; � „ expenses, or causes of action that may ariso br.cause of inslallahon y,`l, ti��,.�2� �// B6 and maintenance of the improvenienl or other ri�ht-ohway use herete �_ _� ' "' applied lor and furiher agrees to reinove same upon notice from th a, i� ;� . . . ,� �. , �.:unst uction Dat� City and to replace public propeny damaged thereby. " %y� v,=,.c.a� %7Lc C'a-G�i-*�n�� .�, . ��; 1 � g�� �},� '>LINSPECTION � �� '�� J��• Q� �� . §�� ++:;. � - �oveA as Conslruded Signature of Appli an� G:�.e '�ff' 1.'i;��, — WORK FUTHORIZED BY THIS PERMIT tAUST 8E STARTED VlIT11N „�„ �=?_-' ' �-:crett PUBLIC WORI(S DEPARTMEkT �g0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO �� �..x.y:_�. II � 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE �t� � � Everett WA 98201 CANCELLED C3Y THE GTY UPON ANV STOPPAGE OF WORK ON THIS � �+�. :� ��.,'k� Phone: 259-8t315 PHOJECT Ob�ER 90 DAYS DURATION. d � �� � �f� ��;�a.; � _. ,� - �' �� ' � � ' y� : �S; %�" e}` .i.,� � _, . . �` „ .. ,. ...... �r C- -n. - �h - - .j 'i .. 'r" 4 . t�' .-.� .... ...«„„ '.".}F.. ...... �� ,.».�.- : -.'.. ___ ... . �. . ... ,x ;,�; -�., �� ,. ' . . . , .. � �. �.: . 5 � c4 � . �-�.-. .. . . . . ... * _,..—�..c�...� � . __ _ .___.—... __-.�� -__�. ._ ""' .:...._.._ ..,...._: � --'- �_.- � K '._:..: . .� _1.;�`_:.a;