2516 HILLSIDE LN 2016-01-01 MF Import

Date(�,�"�� Applir.ation For PUBLIC WORKS PERMIT Print or Type Only 2 Applicant Describe Proposed Work � Y`t S g � t' Cl Ul�i�,�� ('i ✓L. Project Address (if known) --. PubLc Worxs Pe�mit r Bltlg. Dep�. + PublicWorksFee $ Total Fee Lase AOP� Fee PaiE S Balenca Due S Attech lour (4) copies ot plans lor proposed work - Draw to scaie and note Ihe following as applicable: • Property Lines .• Centerline of street • Outline and dimensions of a�l existiny and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls lor inspection shall be mede 24 hrs in advance - phone 259•881 5. 2. All work shall he performed in accordence with this permit and current City of Everett Design and Conslruction Stendards and Specifications. 3. Call Location Underground Service AB hrs. belore you dig. TOLL FREE NUMBER 7-800•424•5555. /DU�G/G LcJo,e.C".S� �'��i�i iC/oT �EqUii2�'�O Approved for Construction FINAL INSPECTION Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everet6 WA 98207 Phone: 259•8815 Date /G �U-87 �iGl,OJ J ACKNOWLEDGEMENT OF CONDITIONS Thr, undersigned owner/applicant hereby ayrees to hold antl save harm• less the City of Everett froni any and all claims for damages, costs, expenses, or causes of aclion that may arise because ot insta�lation and maintenance of the improvement or other right�of-way use hereto applied tor and further agrees to remove same upon notice irom the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEFl IS TO BE DILIGENTLY PURSUED YO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.