131 61ST PL SE 2016-01-01 MF Import

r ' J Date 5-23-90 I NbrK Vi Parmna z 43.40— Application for sag poor a 3Wa686 PUBLIC WORKS PERMIT Pu4rIbmPocaloix a p a H leu♦nPr Pea Paid 9 -- r H H Print or Type Only pq� 1If�]�,a ,a �; pop 0 0 y N Universe Constk' _ 2529 «rQ9 R -? gffthell 9Rn12 4R1-3366 yXO Owr •r M51 c ar (0r, iry Zip Phone 'r h�tv N ari� (i SfJi G1zc u) f."i f: i� O HC Owner f� L23O Appllca•d Meiling Address Cly Zip Phone y.V t y Deacrroe Proposed Work .r • e1 ,1 v- jay ROM4dance----___. yH - g14 H y y0 LU Protect Address fit known) Tot 26 - Aid4ewood Terrace 133 CV-1ST PL SE' Attach lour(4)copies of plans lot propose, work- Draw to scale and note the following as nppt cable: w • Property Lines •Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structure, on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements M DO NOT WRITE BELOW THIS LINE' WO e PERMIT CONDITIONS LAI]calls for Inspection shall be made 24 hrsin edvance•phone 259.8810 ase) 2.All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3.Call Location Underground Service 48 hisbefore you dig TOLL FREE NUMBER 1.800-424.5555. Z w w 4.ANY CHANGE IN THE DRIVEWAY CUT MUST BE APPROVED 0 �ais. BY THE PUBLIC WORKS INSPECTOR. 6.CONNECT DOWNSPOUTS TO PUBLIC DRAINAGE SYSTEM. 6.KEEP CITY STREETS CLEAN AT ALL TIMES. 7.ANY DAMAGE TO THE CURB AND SIDEWALK WILL BE REPAIRED Cn TO THE SATISFACTION OF THE PUBLIC WORKS DEPT. o !'' ACKNOWLEDGEMENT Or CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages. costa, expenses. of causes of action that may arise because of Installation _ OLick A2 _ (s, !)o and maintenance of the Improvement or other right-of-way•ise hereto 't U+�^- epplletl for d f rther a eea to remove same upon notice from the Approved for Con�stru hh Dale City and 1 pl a pub roperty damaged thereby. --- --��,/ FINAL INSPECTION Dale AnProveJ as Constructed Signature 1 Applicant Dote WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN Pveretl PUBLIC WORKS DEPARTMENT 180 DAYS Ov DATE PERMIT IS ISSUED AND THEREAFTER IS TO 0200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE Everett WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259.8810 PROJECT OVER 90 DAYS DURATION.