10424 OLIVIA PARK RD 2016-01-01 MF Import

� � TYPE OR PRINT ONLY Owner qpP��—�_— � rpplication For PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT � 3200 Cedar Street M Everett, WA 98201 259-BB10 !�QSTING �AN-2 9 �99� �� Lane 10515 Ever reen Wa Everett N 8 Y (QA 98; Describe f'roposed Work Grad PROJECT ADDRESS (if known) 1 Atlach four (4) coples of plans for proposed work Ciry Olivia Ave Draw to scale and note the following if applicabie: �PraPerty Lines butline and dimensions of all existing and proposed structures on ihe iot •Existing and proposed utilities `Centerfine of street •Indicate Norih 'Show any proposed grading changes •Show measuremenis oate 11-13-95 _/ Public Works Permit R_/ 5/_�`5- Builtling Permit a 0 Public Works Fee $ � `� � 353-3855 Z�P Phone — Z�P Phone �.J �.v � vvni i t cst�UW THIS LINE PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800_424-5555, � �Uo,c%' Tv �'E 1 C,��' /�c,C f`�.�',c/s <%PL'.�nd�o o.t/ //- 8-95 -hc undersignetl owner/�appl cen E eE by�agreesNo1ho�ld nd save harmless he City of Everett from any and all claims for damages, costs, expenses, or auses of action that may a�ise because of installation and maintenance of ie improvement or other right-of-way use hereto applietl for and further ag� �es � remove sam upon notice Irom the Cit and to replacs public -,�perty amaged t��y, � woRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS IS UED qND THEREAFfER IS TO BE DILIGENTLY PURSU D�TO COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9D DAYS DURATION.