4818 W VIEW DR 2016-01-01 MF Import

Date 12 2 91 v �� -1i-s AppliCation For PUBLIC WORKS PERMIT Print or Type Only pvU�a Worke Parmlt • Biau Deo�. � ��751 59 Poobc wo.as fec S To�rl iee L¢5!I(10��fPPPpid S Bdldn[P �IIC W Jonathan A. Jensen 4818 W. View Dr. EVerett, WA 98203 252-5097 Owner Mailing AAAress Cdy Zip Phone Owner Describe Proposed Work Proiec� Address (il known) Address 4816 W. View Dr. City Zip Attach four�4) copies ol plans for proposed work- Dr�N to scale and note ihe lollowing as applicable: • Property Lines • Outlina and dimensions of all existing and proposed structures on the lot • Existing and proposed ulilities • Centerline ol sireet • Indicate Norih • Show any proposed grading changes • Show measuremen�s PERMIT CONDITIONS 1. All calls for inspection shell be made 24 hrs. in advance - phone 259•8810. 2. All work shall 6e peAormed in accordance with this permit and wrrent City of Everett Design and Constmction Standards and Specificalions. 3. Call Lccation Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800•424•5555. � n U��. Cv�'z�� /��.::>>�.. Z�� l�-�: c��-u�-u�(% , Approved for Construction Date FINAL INSPECTICN Approved as Construded �PUBLIC WORKS DEPARTMENT ,V�3200 Cedar Street Everett, WA 98201 Phone:259�0810 � �� ��,1� j/ ACKNOWLEDGEMENi OFCONDITIONS � O � � 0 a The undersiyned owner/applicaM hereby agrees Io hold and save harm� Iess Ihe City ol Everett trom any and all claims tv damages, cosis, expenses, or causes of action !hat may arise because of installation and maintenance ot the improvement or other right-of-way use hereto applied tor and lurther agrees to remove same upon notice Irom the City and to replace public property damaged ihereby. Signature Gf AppliGant Oatc WORK AUTHORIZED BY TIiIS PERMIT MUST BE STl,RTED WITHIN 180 DAYS OF DAT[ PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTIY PURSUED TO GOMPLETION. THIS PERMIT MAY B[ CANCELLED Bl' THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.