4325 TERRACE DR 2018-01-02 MF Import

�� qppicaUon For Date � � ^ge � PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT Wb�ic Wo�Cs Pert^rt M 3200 C��der Street Everen,WA 98��1 259-8810 Building PertnR M -- TYPE OR PRINT ONLY Public Works Fee S ' \S�CIr'(Z�,�S M�� d /� � Ciry��CJ� Zi �0�03 Phon� .J y� � ... I �� "' asa -��►�6 Applicant Malling Address City Zip Phone Describe Proposed Work N ,r,1� �r; w� W � � v/ PROJECT ADDRESS�if known) 4 3�_�•+Y�G' �� m Atlach four(4)copies of plans tor proposed work-Draw to scale and note the following li applicable: O •Property Lines 'Outline and dimenslons of all existing and proposed slructures on lhe lot •Existing and proposed utilities �Centerline of sireel •Indicate North •Show any proposed grading changes •Show measuremenis � DO NOT WRITE BELOW THIS LINE � PERMIT CONDITIONS: 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. � 3. Cali Locatlon Underground Service 48 hrs. before you dig. TQLL FREE NUMBER 1-800-4245555. � � O � , a �� � � � �p � �,i � � � �� � � ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/epp�icant hereby agrees to hold and save hartnless the City of Everett from eny and all claims for dameges,costs,expenses.or causes of action ihat may arise because of instailation and maintenance ol ApprovedforConstruction Date theimprovementorotherright-of-wayuseheretoappliedforandturtheragrees to remove same upon notice trom the City and to repiace pubiic property damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DII.IGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANV STOPPAGE OF WORK ON THIS PRQIECT OVER 90 D.4YS D'J7A710N.