8411 E XAVIER WAY 2016-01-01 MF Import

�Application For Tp PoSjIpG `� � O � / � PUBLIC WdRKS PEF�AIT —��—.. 11/28/95 ��., `` �-- PU6:!�WORKS DEF.4RTMENT /S�S4� iP00 Cedar Strt�t Public Wo�ks Pertnit N Everett,�/A g8201 259-8810 � g Building Permit N_��p149 1VPE OR PRINT ONIY r � � g � � g 5' $ S cFi � N � o w '- � o �o 0 o Pu61ic Works Fee$ Za N � N M ~ tl1 l�' U M �Y RCGER OLIN CONST PO BOX 32E�:6 o. 'pEVERETT � �� ^ ~ �� « �3�'-7622 �ef Mailing Atl sc "' � � Q � g �� F�'„ .. ZiP Phone awN R � � � �� d = Appliwnt Mailing Ad ss Ity n � � Zip Phone Dascribe Proposed Work NEW HOUSE — BASIC i144 W F- � PROJF.CTADDRESS(if known) �1� � XR�//f� �,l/ �/ , Attach four(4)copies o}plans for proposed work-Draw to scale and note the following if applicable: � •Property Jnes �putli�e and dimensions of all existing ard proposed structures on ihe lot •Eristing and p�oposed utilities O •Centerline of strcet •Indicate North 5how any proposed grading changes •Show measurements DO NOT WRITE BELOW THIS LINE � � PERMIT CONDITIONS: 1.All calls ��r inspection shall be made 24 hours in advance-phone 259-8810. � 2.All work shall be pertortned in accordance wifh this pertnit and current City of Everett Design and O Constiucti�n Standards and Specificatior.s. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-55$5. k ,: � ' 1 Dri�•r��;ry ilowuslope m�.sl begiu a mininnuu ofG feel rast oflhr rdge ofpavumeul iu E Xavier W � '�f . and ihe s;o � m nol ��xcec.± 20°%. Consfnict vertical curves ;�t iop :u�d bottom ofthe ;lrivcway su O . P, �. � ~ , that � c��will not dr�q on pavement. � O��ir ACKNOWLEDGEMENT OF CONDITIONS /'� � �,/��'L^ /�/�/� The undersigned owner/applicant hereby agrees to hold and save hamdess LCXt.,I, /� Z11.�_ J ihe City of Eveietl from any and all claims for damages,costs,expenses,or prov on,�hon py�e .� — caures of action that may arise because of Installation and maintenance of ihe improvement orother right•of-way use hereto applied}or and further agrees � to remove same upon notice from the City antl to replace pub„ prope S � damaged ihereby. � Dat �proved as Constructed � Signatureo pplicant �" � — Date WORK AUTHORI2ED�Y THIS PERMIT NUST BE SIARTED WITHIN 780�4YS OF DATE PERMIT Ic ISSUED AND THEREAFfCR IS TO BE t�ILIGENILY PURSUED TO COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPqGE OF WORK ON THIS PROJECT OVER 90 DAYS UUrlAT10N.