4911 HARBOR LN 2016-01-01 MF Import

Date l0/15/84 Applicetion For PUBLIC WORKS PERMIT Print or Type Oniy NorCraft P.O. Box 363 Mailing Atldress Mukilteo Puelic Worxs Permn � ��y�_ BICq. DeCI. ♦ 84�140Q0 Pu01i< Wo�ks Fee Totel Fea S Less ApP� Fee PaiE S �j Belance Oue S G d �� ��649 _ 98275 355-4196 ZIP Phone Same Applicant Mailing Address City Zip Phone Construct Single Family Residence Describe Proposed Work Project Address (if known) / /// — Attech four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street y • 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 PERMIT CONDiTIONS 1. All calls for inspection shall be made 24 hrs. in advance • phone 259•881 5. 2. All work shall be performed in accordance with this permit and current City of Everett Design end Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig, TOLL FREE NUMBER 1•800•424•5555. � .Kti+€`� �C�a-�-' /q /7/S� �� Approved lor Conslruction � �. ate Approved as Constructed everett PUBLIC WORKS UEPARTMENT � 3200 Cedar Street Everetl, WA 98207 Phone: 259•8815 ACKNOWLEDGEMENT OF CONDITIONS W H � � O � � O a The undersigned owner/applicant hereby agrees to hold and save harm• less Ihe City of Evcrett from a�y and all claims lor damages, costs, expenses, or causes of action that may erise because of installation and maintenance of ihe improvement or other right-of•way use hereto applied for�arld turther agrees to remove same upon notice irom the City and fo re�lacR public property damaged thereby. �• %� _ L � _ �>: s Signature of Applic nt D91e WORK AUTHORIZ D BY THIS PERMIT MUST BE STAR7ED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIL�GENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.