2828 COLBY AVE CASCADE BANK 2018-01-02 MF Import

r Date J/may APPlicatior, For PUBLIC WORKS PERMIT Print or Type Only Address Describe Proposed Work Public Warta Per e O Bldg. Dept a V Public ftoo Pea Tgtal Fee S Lee, April Fee Paid S Balance Duo >< Phone -3 1 Project Address (If knuwn) -2ya?!� r 1'e� W ar-1 Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines 0 Outline and dimensions of all existing and 0 Centerline of street proposed structures on the lot 0 Indicate North • Existing and proposed utilities � Show any proposed grading changes M� r ci-:. • Show measurements PERMIT CONDITIONS DO NOT WRITE BELOW THIS LINE m Q1. All calls for inspection shall be made 24 his. in advance - phone 259-881 5. 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 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. 0 C e - 1 3 ir��r a Approved for Construction Date FINAL INSPECTION Approved as Constructed Date everelt PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8815 L ACKNOWLEDGEMENT OF CONDITIONS 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 improvement 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 gpphcant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED Date 180 DAYS OF DATE WITHIN ISSUED ANIS TO BE DILIGENTLY PURSUED M TO IT ICOMPLETION .DTH SEREAFTER PEMAY RE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS ..I PROJECT OVER 90 DAYS DURATION. I I