1832 HOYT AVE 2018-01-02 MF Import

Daterq- 2-8 l �� ,.�.,,.,,.,. 47-303 , Application For eiae.oeo�.. _ PlJBLIC \Ivt'DRKS PERMIT Pubf¢WorksFee Total Fee � Less AppL Fee PaiO $___ Print orType Only BelanceDue s /1/� U/S'.CbE � p�ic �.,r , Si'ri.v9cr �S�i? l�o�fi' £V 98.Zo/ �5.�-��3 p Owner Maihnq Adtlress City Zip Phone �ri�,e w. S1-r;.�.ye,r �53�. l�yt f1/ �.Zol �5�. - LSS'o Applicant tdailing Address Ciry Zip Phone Describe Prope,sed Work l'C � � V��►�4 � � W�td S�� ___G�l� Do �•✓ �� wU ! � L t v �2/ — v b•c✓' Zo pro J+e r� Y �-i:�_ � R� ;�l R_r f-�,�w « ��To� fi � .�6"�b " L r.�.1 sc 4� W � �v-s�, bt rS -- y �3z-�,,—t �,�—��! �-t-y '' Pi��g r.�,`,� �m��r wNA ' cr.t/ ■ • P:olect Address(il ki.own) S G�'M� �(�4 e Ir r � Attach�four(4)copies of plans for proposed work- D�aw to scale and note the lollowing as applica6le: � • Property Lines • Centerline of:ireet � . • Outline and dimrnsic�s ol all exisling and • Indicate North prop�sed structures o� 7he lo� • Show any proposed gradiny changes • Existin9 and proposed utilities • Shuw measurr,merls � �� DO NOT WRITE BELOW THIS LINE PERMIT CO!JDITIONS O 1. All calls lor inspection shai�be made 24 hrs. in advancs- phone 259-8$1 5. � 2. All work shall be performetl!n accordance with ihis permit and current Ciry ol Everet� Design and Consiruction S'andards and Specitica�ions. 3. Call Localion Undergroond Service A8 hrs.belore you dig.TOLL FREE NUMBCR 1-800•424-5555. � Lc�02,C' To � Z�.�vr" f�f,c' �i��l��-� cS',c-E:c.�_r; j O � ♦�A V♦ � O i a � ACKNOWLEDGEMENT OF CONDITIONS y/�C V' 7 The undersigned ownedapplicant hereby agrees�o huld and save harm- � less the City of Ever=tt trom any and all daims for Aamages, costs, expenses, or causes ot action ihat may arise because of Installation J � � 87 and maintenance of tho improvement or other right-of-way use hereto � applied for and luriher .agrees lo remove same upon notice Irom the Appioved lor Con r n Date Ciry and to replace pubii�;property tlamaged �hereby. f- �/� `] Y � �^ �7 n FINAL INSP I N� Date /�� W � � 7� — �� ApproveA as Construc�ed Signature of Applicanl �� ate everett PUBLIC WORKS DEPARTMFNT WORK AU�HOFlIZED BY THIS PEFMIT MUST BE STARTED W!iHIN � 3200 Cedar Street 180 DAYS OF UATE PERMIT IS ISSUEU AND THEREAFTE� S TO Everett. WA 98201 BE DILI�EfvTL1' PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone�. 259-BR15 CANCEL�[D RY THE CITY UFON ANY STOPPAGE OF WORK ON THIS _� FROJECT OV[R 90 OAYS DURATION.