2014 OAKES AVE 2016-01-01 MF Import

v Publrc Wo�ks Permll• �/�� Date � � oiac oeoi . 90�/J��_ S`!`� — Application For PUBLIC WORKS PERMIT PubTolaFeaFce S Less Pooi.Fee PaiE $ Baiance Oue a '� �^- Print or Type Only ��-��i /' �O �Q �f6X �U .2 /��:✓��fU/LL � 1 � � 70 G� t'3- 33� P Owner Maihng Address City Lp Phone �"t� CitY Zip Phone Applicant Mailing Address Describe Proposed Wo•k i-rtir� �� -- W Project Address(if known) a .�,e rS. �•- � qN?c`.:uur(4)cupies of Plans lor proposed work- Drah to scale and note the lollowing as applicable: � • Property Lines • Centerline oi sireet • Indica�e North • Out�ine and dimensions of all ewsDng.� d � Show any proposed gratling changes proposed structures on the lot � Show measurements M � • Existing and propos�d utilities W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � � 1.All calls for inspeclion shall be made 24 hrs.in advance•phone 259•8810. . 2.All work shall be pedormed in accordance with this permil and current City of EvereU Design and Construction Standards and Specifications. � 3.Call Locetion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. O � � O a � ACKNOWLEDGEMENT OF CONDITIONS �- The undersiqned owner/applicant hereby agrees to hold and save hann- less the City of Everett irom any and all claims for damages, costs, expenses, or causes of action that may arise because �f installation ^ �` 5^ y ^� and mainlenance ol lhe improvemenc or other right�o4way use herelo `� applied tor and lurther agrees lo remove same upon notice from the Approved fo��y;:� Date Cit nd to replace public property damaged thereby. —.� �-Jr�- .�j �5-�-�� FINA�INSPECTION Dale Date SignaWre Applicant Approved as Constructed WORK AU HORIZED BY T IS P[RMIT MUST BE STARTED WIT I everett PUBLICWORKSDEPARTMENT �� g0 DAYS OF DATE PERMIT IS ISSUED ANC 7HEREAFTER IS TO � 3200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BC- Everett.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259�8810 PROJECT OVER 90 DAYS DJRATION.