541 PILCHUCK PATH 2016-01-01 MF Import

10/14/85m • • Date PuElic Workf Parmit• Applicalion For em9 oeo�.• 85/15575 PUBLIC WORKS PERMIT PubTollFaeFea , Less AO��Fee PeIC S Balenca Due S Print or Type Only Paul F. Werner 541 Pilchuck Path Evezett 98201 259-3815 Owner Mailing Address City Zip Phone Same Applicant Mailing Address City Zip Phone Describe Proposed Work Construct Deck W Prolect Address(if known) 541 Pilchuck Path � Attach four(4) copies of plans for proposed work• Oraw to scale and�ote 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 W w DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � 1. All calls for inspection shall 6e made 24 hrs in advance•phone 259-881 5. � 2. All work shall be performed in accordance with ihis permit and current City ot Everett Design and Conslruction Standards and Specifications 3. Call Location Underground Service 4d hrs. before you dig.TOLL FREE NUMBER 1-500•424•5555. � �� i�c,��1�� C-%�'�,C',�-f j�r,�i�'�T �'Fy%L�i,cr=fJ O �i�l- /G- /i 3S- �.., � O a ACKNOWLEOGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to ho�d and save harm- less the City of Everett irom any and ail claims (or damages, costs, expenses, or causes of action that may arise because of installation and maintenance ol the improvement or other righPol-way use hereto applied for and further agrees to remove same upon notice from the Approved for Construction Date City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature of Applicant Date everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO � 3200 Cedar Street BE DILIGLNTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone: 259-8815 PROJECT OVEH 90 OAYS DURATION.