1626 HOLBROOK AVE 2016-01-01 MF Import

Date z z� �8 PUBLIG Print or Type Only ApplicaliontFor WO R I�S 0 0 PERMIT Pubbc N'orASlce ,o�r� F„� s _ ii � ! .i Describe Proposed Work 1_ , �) � r�� n� -�� ~� — � n LOQLlS ?�� '— �nn VLrt! S _ Attach four (4) copies of plans for proposed work - Drav • Property Lines • Outline and dimensions o1 ali existing and proposec structures on Ihe lot • Existing and proposed utilities • Centerlme of street • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS t. All cells lor ��spection shell be made 24 hrs. in advance - phone 259•8870. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards end Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555. I(o� // �/f rX ��.(/r �� ApprOvetl lor l:onsiruClion � ya�� ---_-!~v,� -�� a.si� �f f1FJAL INSPECTION �� e Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Ceder Street Evere�t, WA 99201 Phone: 259•B810 The undersigned ow�er/applicant hereby agrees to hold �nd save harm� less ihe Ci1y ol Everelt irom any and all claims tor damages, cos�s. ezpenses. or causes of action that may a�ise because of installation and mainlenance ol Iha improvement or other righ4ol�way use hereto applled lor and further agrees to remove same upon notice Irom Ihe Cily and to replace public property damaged thareby. �.�.,_`D� %�.:.� /z-/�- �b Si9nalure ol Applican Date WORK AUTHORI2ED BY THIS PERMIT MUST 8E STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILICiENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON hNY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.