3821 26TH PL 2016-01-01 MF Import

3/16/88 Pu�Lc Wo�ks Permlt� se — /OG Date_ ema oaa� • ., Application For PUBLIC VIDORKS PERMIT P"°""YOfkSPee S Total Fee , Less ADP��Fee Paid $---�—, —�T}�'— •� GLSfz � Balance Due S_—L=� Print or Type Only Everett 98206 (206) 259-6036 'I Can on Lumber Co.� Ir.:. P.O. Box 1246 c.lv zio Pnone ; � Owner Mai4ing Address I Everett 98206 (206) 259-6036 , Canyon Lumber Co.� Inc. P.O. Box 1246 cltv z.a Phone � qpplicant Mailing Address � t � Describe Proposed Work S nd Pave outlined area on attached survey. i a rox. 60' x 160' � WI 3821 26th P1. � Everett � ProlPct Address�if known) — I i Attach four(4)copies of plans for pioposed work� Draw to scale and note the followinc�as ay;.��rable: � � , • Property Lines • Centerlire ot street 'I � • Indicate Norih • Outlinv?nd dimensions of al!existing and � Show any proposed grading changes I propcsed structures on the lot � � Show measurements M I • Existing a,id proposed utilities � W � DO ti0T WRITE BELOW THIS LINE O PERMIT CONDITIONS � 1.All cells tor inspection shall be made 24 hrs.in advance-phone 259•8810. 2.All work shail be pertormed in accordance with this permit and current Cily of Everelt Design and Construction Standards and Specifications. � 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1-800�424-55 • 'y /p�'id',E GUATE.e I/ilcv6 h%✓D �c4tvu�-Of�' r9J �Q�2➢vi.P�'D. O LoC.9TE:o �9r T.✓�' Na,eTH F.r/v oF P.yvrn/!r. � � � �f'ri�•�G is io B� l�cYv� So Fr�' /�/vr n (� I � !/MP�4GT s9Toi^�tirN� /�o,��.er..�.r' uJ�Tf/ ��7r>i3�'v,�/�aG /S�/�/i✓-L(,/JTE.L �Pu.u.�.<nF/�,. a ACKNnWLEDGEMENT OF CONDITIONS The undersipned owner/applicant hereby a9rees to hold and save harm- less the Ciry ot Everett Irom any and all claims for damages, costs, ezpenses, or causes of aclion that may arise because of inslallation �� Z �B and maintenance of the improvement or other righbot-way use hereto applied for and further ayrees to remove same upon notice from the Approved for Con., r c n Dale City and to replace public property damaged thereby. :�� ,� ' ` �–P � 1 Date w'�–' Date FINAL SPECTION Signature ot Applicant Approved as Constructed y�ORK AUTHORIZED BY THIS PERMIT MUST BE SL�RTED WITHIN everett PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THERI:FFTER IS TO � 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THiS PERMIT MAY BE E�erett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259•8810 I PROJECT OVER 90 DAYS DURATION.