413 74TH ST SW 2018-01-02 MF Import

APPLICA a iON FOR PUBLIC WOnKS PERMIT L PUBLIC WORKS EVERETT, WASHINGTON 13OWNER ❑ AGENT Type or print clearly with Ink PRESS HARD • YOU ARE MAKING COPIES PERMIT NO. DATE __?anuery 20� 1982 82/10192 BLDG. DEPT. NO. APPLICANT/FIRM REPRESENTED __ Hillis Homes Inc__ ADDRESS 826 S.E. Everett Hall Nay _CITY Everett TELEPHONE.355-4492 HEREBY APPLIES FOR PERMISSION TO install driveway AT THE FOLLOWING LOCATION Lot 85 -Li_- --- - - Attach five(5) copies of prellminmy plans for proposed work Draw to scale and show the following as applicable: • Property lines and street Identity. • Outline and dimensions of existing and proposed sir..ctures. • Existing and proposed utilities. • Centerline of abutting right of way. CONDITIONS: i APt FJVE FOR CONSTRUCTION • Topographic changes requiring cuts and fills other than normal foundation • On -site drainage systems when required. • Erosion control methods when required. • N :)rth arrow Signrture of Apolieanl PUBLIC WORKS PERMIT The undersigned "net hereby agrees to hold and save harmless the City of Everett from any and all claims for damage& costs, expenses, of causes of action that may arise because of Installation and maintenance of the Improvement or other nghbol•way use hereto applied for end Further agrees to remove same upon notice j from the City and to replace public property damaged thereby. DATE ACKNOWL-L' E M E NT OF COND,TIONS /,JPROVED AS CONSTRUCTED DATE SIGNATURE OF APPLICANT DATE PERMIT IS VALID FOR 1 YEAR — pOST ON CALL FOR INSPECTION 259-881 1 EXPIRATION JOBSITE 24HRS.BEFORECONSTRUCTION