5711 HIGHWAY PL 2018-01-02 MF Import

Date ill 3 / 81 Application For PUBLIC WORKS PERMIT _/��✓ Public W,hs q9 Pormil • —_�— Bldg Dept Public Wehi Fee Teter Fee $ — Less APPI. Fee PaO $ Balance Dun $-J Print or Type Only Teresa Saltarelli 2606 S.W. 122nd St., Seat -le, WA. 98146 745-00861 242-0208 n... — Mailing Address City Zip Phone Alpine Group Inc 2607 147th P1, S.E., Mill Creek, kA 98102 745-0086 Applicant Mailing Address City Zip Phone Describe Proposed Work Clear & Grub trees and brush and remove old building debrie, pool shell & remenants of old drive ways and utility buildings and garbage and debrie, Leaving old pool is a safety hazard, as are tall trees adjacent to apartments Mau fill in pool. Legal Description Lot 21 Beverly Hills D-c N4 Sno Co W' +ty of FyerUJ Project Address (if known) 5711 n'ghwau Place rPr� Attach four (4) copies of plans for proposed work • Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements M DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance • phone 259-8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. 06/07/89 10:20AM 00006181 00002:207 A DPT.20 $25.00 CHECK $25.00 � J for Construction Date Elf — Approved ra//�� - FINAL INSPECTION ' 'Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Ever Everb,h WA 99201 Phone: 259 6810 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. expenses, or rauses of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove sam upon notice from the City and to replace public property damaged;Vieby. gnatui of A hcant Dale WORK AUTHORIZED BY THIS PERMIT MAST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION, THIS PERM T MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.