710 PECKS DR 2016-01-01 MF Import

�8t@� �� Pu01ic Worka Permit• 86 - 3y0 '- • . AppllcetionFor eiac.oao��+ PUBLIC WORKS PERMIT PuOToIeIFeeFee : �eaa npo�Fae ve�a S Print or Type Only aa�a��e o�e s a0�— M� 0 2 i lx L � /� /� � !S I �h (d/� [i� �!�/-lt i /l ��3�D 1 Owner Mailing Address City ip Phone F - '/ lr=,u.y� �//� �3� VY. MGo(�;/�,: o �tl.t 'IS 3N �G' 3d3 � Applicant Mailing Address City 2ip phone ' D `1 /� ) � Describe Proposed Work _�3'�� I �f� I ��I 1 d'r� �/z �(� ' � � /— 0 � W Project Address(if known) a ^� ^ � Attach four�4)copies of plans for proposed work- Draw to scale and note fhe lollowing as applica6le: � • Property Lines • Centerline of street � • Outline and dimensions of all existing and • Indicate North proposed structures on the�ot • Show any proposed grading changes • Existing and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE O PERMIT COMDITIONS 1. All calls tor inspection shall be made 24 hrs. in advance• phone 259•881 5. � 2. All work shall be perlormed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Locatiun Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � 09/16/86 3:31PM OOORNI '/ / O 7 Gi��JOE j�9.e.e-�dG Lor Tv ,r7,C�9,�•� To �tlEDP,T,.;O 520:00 T,�JSiA�IE.o C/JrCrY 8.9s�.dS. `�f; f�0 00 � .S fAvE,wEn�T � �9�Df/ .20, F,po�1JT,9GE �nUsr � aE' lrEor �9c.� s' o,e .�oiec F�eo.n B�ae O o� S,oE��9��-. a l. ysyyytT To BE A mi.v af' ,Z " cG9ss B � 7 C/T CGt[�E .PE'QUiieES .S � Of �9.vD�'CAo'.•�G BErc�IEE•J P�/�t/G �lJD ,.ffjPL�ET /t/(siy`r G�% C✓yCKNOWLGDGEMENTOFCONDITIONS D,,C P6 ,d� The undersiyned owner/applicant hereby agrees to hold and savc harm• less the City ol Everett Irom any and all claims lor damayes, costs, expenses, or causes of action that may arise because ol installation �1�,�/� _ ` 9�5 6 and maintenance of the improvement or other right-ol-way use herelo Lsu� ovriz / applied for and further agrees to remove same upon notice Irom the Approved f Construction � Date Ciry and to repiace public propaity damaged thereby. V� �O'!J'iL �� FI SPECTION Date _,X'—� �. � �� %� Approved as Constructed Signature of Applicant Date everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN � 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everelt,WA 98207 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Phone:259-8815 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS ?RUJECT OVER 90 DAYS DURATION.