7807 GRANT DR 2016-01-01 MF Import

Date.�C?� Application For PUBLIC WORKS PERMiT Print or Type Only 2ip c wo•4s rc,mn . 8'U4 DCpI • Public Worka Faa Total Fee $ Less ROP� Fee PaIE S Balnnce �ue 5 Phone Describe Proposed Work Project Address (if known) Attach four (4) copies of plans for proposed work - Draw ro scale and note the following as applicable: • Property Lines • Cenlerline ol street • Outline and climensions of all existing and • Ir.dicate North proposed strucfures on the lot • Show any proposed g�ading changes • Existing antl proposed utilities • Show measurem�nis PERMIT CONDITIONS 1. All calls lor insp�ction shall be made 24 hrs. in advance - phone 259•881 5. 2. All work shall be performed in acccrdance with this permll and current City ol Everett �esign and Construction Standards anJ Specitica�ions. 3. Call Location Undergreund Service 48 hrs. before you dig. 70LL FREE NUMBER 1•800•424-5555. %�ui3l: c. Gc;�.r_'CS P��in.�i ��r,��c.;i �.� Approved lor Consiruction Date FINAL INSPECTION Approved as Consiruded everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Sireet Everett, WA 98201 Phone:259�8815 �-5-d'% � �� ACKNOWLEDGEMENT OF CONDITIONS Th�� undersigned owner/applicant hereby agrees to hold and save harm- less Ihe Ci�y of Everett Irom any and all claims �or damages, costs, expenses, or causes of action that may arise because of installation and maintenance of Ihe improvemenl or other ric�M�of-way use nereto applied for and turiher agrees to remove same upon notice Irom the City and to replace public properry damaged thereby. Date Signature of Applican� Date WORK AUTHOR�ZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF UATE PERMIT IS ISSUED AND THERE�FTER IS TO BE DILIGEN7LY PURSUED TO COMP�ETION, THIS PERMIT M�Y BE CANCELLED BY TI1E CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.