2223 TAYLOR DR 2016-01-01 MF Import

� TYPE OR PRINT ONLY '�plication For PUBLIC 'C. ORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everet', WA98201 259•8810 Dat� 1/16/9 Public Nbrks PermN k Building PertnH N _ Pubiic Nbrks Fea E _ _ .1ACOBSON ROBERT S TOie 7597 V�pVrnncm pR FVFRFTT WA ga�n3 �] 791] Owner Mailin9 Address City Zip phone CHFRT ML1 FR R4—R Oh Appliwnt Mailing Ad�ress City 2ip phone Describe Proposed Work PROJECT ADDRESS (if known) 2223 TAYLOR DR Attach four (4) copies �f plans lor proposed work - Draw to scala and note the followmg il applicable: •Property Lines �putline and dimensions of all existing and proposed structures on ihe lot •6cisting and proposed utilities •Centerline of streel •Indicate North •Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this pertnit and current City of Everett Design and Construction Standards and Specifications. 3. Cali Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555. Approved for Constmction Date FINAL INSP°CTION Date Approved as Constructed ♦�A V♦ O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save hartnless the City of Everett from any antl all claims for damages, costs, ezpenses, or causes of action that mny anse because of installation and maintenance ol the improvement or other righ4of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace pubiic property damaged thereby. Signature ol Applicant Data WORK AUTFiORRED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WOflK ON THIS PROJECT OVER 90 DAVS DURATION.