5416 S 1ST AVE MORSE CONSTRUCTION GROUP 2018-01-02 MF Import

srh >y syai y zH K c� O SO !� H OHCC H ttv O 4] • n zH ate- r z H5 g� H � r z H trail H O rA Date PUBLIC WORKS PERMIT Print or Type Only To pnSTING_ `D -� / , rA Public WorksPermit a Z v Bldg. Dedi. Public Wads Fee Total Fee S--�..-7C — Leas APPL Fee Paid S Balance Due S `P Applicant Mailing Address City Zip Phone Describe Proposed Work Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following an applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measuro-menis DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS w — 1. All calls for inspection shall be made 24 his. in advance- phone 259.8810. 2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1-800.424.5555. — sell ! , l ell I � ner FINAL INSPECTION Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Coder Street Everett, WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF CONDITIONS W Y/ Im 0 Z 0 I 0 a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. expenses. or causes of action that may arise because of installation and maintenance of the impro,amenl or other right-of-way use hereto 'applied for and further agrees to remove same upon notice from the 'City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN ISO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.