2329 HIGHLAND AVE 2016-01-01 MF Import

Date� b p Application For PUBLIC WORKS Pf RMIT Prir�t or Type Only Address Public W� ha Permlt ��Q�� BIEB DepL • g� 1 Punl¢ Works Fee Totai Fee S less Appl Fee PeiE S Baiance Doe S � a� -ayd� Phone c�_L �_ Applicant Mailing Address City Zip Phone G�� ^T1� Describe Proposetl Work 1/�Y �N�f'C1 1 � Pro�act Address pf known) Attech lour (4) copies of plans for proposed work - Draw to • Property Lines � Outline and dimensions ol all existing and proposed structures on the lot • Existing and proposed utilities and note ihe lollowing as applicable: • Centerline of siree� • Indicate North • Show any proposed grading changes • Show measuremenis PERMIT CONDITIONS 1. All cells (or inspection shalt be made 24 hrs. in advance - phone 259•881 O. 2. All work shall be pertormed in accordance with this permit and current City ol Everett Design antl Construction Stenderds and Specifications. 3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1•800�424•5555. nor ,�c-�ui r� Approved for Construct FINAL INSPECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200CedarStreet Everett, WA 98201 Phone:259�9810 ACKNObVLE�GEMENT OF GONDITIONS W � � � O H � O a The undersignetl ownedapplicanl hereby ac�rees to hold and save harm- less th_ Gty ol Everett Irom any and all claims for damages, cosis. expenses. or causes of action Ihat may arise because of install�tion and maintenance ol the improvement or other nght�ot way use hereto apphed lor and luriher agrees to remove same upon notice Irom ihe City and lo replace public proUerty damaged thereby. Signature ol ApUGcant Date WORK AUTIIORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PEqM111T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCE�LED BY THE CITY UPON ANY SiOPPAGE OF WORK ON THIS PROJEC- OVER 90 DAVS UURATION.