5502 SUNSET LN 2016-01-01 MF Import

Date�� % �pplica�ion For PUBLIC WORKS PERMII' Print or Type Only �" Y�-� Describe Proposed Work � �n�, 1 ' Project Atldress (il knownl Puebr. Wo�Fs Pm t` 1 f`� ""'�""�— pltlq Oept � �� r�enc woa, reo s Tolcl Fco Laas Appl. Fea Pnid S BqIB�CP �YB S City Zip Phone Attach lour (4) copies of ptans for proposed work • Draw to scale and note the following as applicable: • Property Lines • Centarline of street � Outline and dimensions of ail existing and • Indicate Norlh proposed structures on the lot • Show any proposed grading changec • Ezisting end proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls :x inspection shall be made 24 hra in advance � pho�e 258•881 5. 2. All work nhell be performed in accc�dance with ihis permit and current City of Everett Design and Consiruction Stendords end Specifications. 3. Call Location Underground Servic: �id hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. �/� l"—c��G/L' !t_ c.?%iE 5 ApproveJ for Consiruction FINAi �.NSPECTION Approved as Constructed everett PUBLIC WORKS DEPARTME � 3200 Cedar Street Everelt, WA 98201 Phone:259-8815 `�/.I7'/% !�Lv'','i��cYCi/<'fQ , — ,.1)/ YL:. . ��,�N �' ACKNOWLEDGEMENT OF CONDITIONS W F- � The undersigned owner/applicant hereby agree� -.o hold and save harm• less the City o( Everett Irom any and all claims for damages, costs, expenses, or causes ot aclion �ha� may arise because of installetion and main�enance ol �he improvemeN or other right-ol-way use here�o applied lor and lurther agrees to remov� same upon notice from the Cily and to replace public property dama9ed ihereby. Signnture ol Applicanl Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1E0 DAYS Of DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE C�NCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJ[CT OVER 90 DAYS DURATION.