8314 LARIMER RD 2016-01-01 MF Import

Gate_1,�:z�o� � Applicacion For PUBLIC WORKS �PERMIT Print or Type Only Mailing Address Describe Proposed Work Project Address (il know:+) Pu�Lc Workg Parmit • Blog_ DaO�� _ PUDIic Wo�ks Foa To�el Fee � Le59 AODL Fep Pdid � oalance ouo s Phure l:ity Zip Phone Attar,h lour (4) copies of plans for proposed work - Draw to scale and note ihe fcllowing a� applicable: • P�operty Lines • Outline and dimensions oi all existing and prUposed ct�uCWres or thu lo� • Eeisiing and proposed utif,ties Approved �• PFRNIIT CONDITIONS • Centeriine of street • Indicate North • Show any proposed grading changes • Show measurements LIN 7. All calls lor inspection shall be made 24 hrs. in advance � phone 259•881 5. 2. P.II work shall F.e perfo�med in accordance wdh ihis permit and current City of Everett Dasign and Construdion Standards and Specifications. 3. Call Locatinn Underground �ervice 48 hrs. before yoii dig. TOLL FREE NUMBER 1•800•424•5555. J'�/�"G/C l�i��2�=5 l'��j:.,r�7 /'✓C�j � �, .. �,.� �� ; f�=c 1 : � c` �ill/' �7,?.�1]-�l,/ �� l ;� 7 ;�-. � ` `" PINAL INSPECTION Approved as Constructed cverett PUBLIC WORKS DEPARTMENT � 3200 Cedar Sireut Everett, WA 98201 Phone:259-8815 �CKNOWLEUGEMENT OF CONDITIONS W � � / � � � Z O The undersigned owner/applicartt hereUy agrees te Lold and save harm� less �he City of Everett from anv and all claims for damages, costs. I expenses, or causes of action inat may arise because of installation and maintenance ol the improvement or othr,r righl-obway use hereto p, applied fm and further agrees to remove same upon notice from �he Ciry and to replace public n�oPerty damaged ihereby. SignaWre ol Applican� Date WORK AUTFiORIZED �Y THIS PERMIT MUST BE S'ARTcD WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS P[RMIT MAY BE CANCELLED DY TH[ CITY UPON ANY STOPPAGE OF WORK ON THIS �RO.IECT OVER 90 DAYS DURATION.