8018 BEVERLY BLVD 2016-01-01 MF Import

Date�ILLo O ( AppliwNon For PUBLIC WORKS PERMIT Pnnt or Type Only mawng naaress Describe Proposed Work _L �� 7K� Pro�ect Address (if known) 2ip ary Zlp Puol¢WorFSPer i Bl�p DeO�� • Punec Waa�Fee Lot�l Fee s Lasf ROG� Fee Paia S Baien;e0ue S Attach four (4) copies ol plans lor proposed work - Draw to scale and note Ihe lollowing as applicahle: • Property Linns • Centerline of streel • Outline and dimensions of all existing and • Indicate Norih proposad structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measuremenls PERMIT CONDITIONS 1. All calls lor Inspection shall be made 24 hrs. In advanco • phone 259•8870. 2. All work shell be paAormed In accordance wi;h Ihis permit and current City ot Eaeretl Design and Construction Standerds and Specifications. 3. Call Loca�ion Unde�ground Service 48 hrs. belore you dig.'t�LL FREE NUMBER 1-800•424•5555. (�� O,QB i f / , v Approved lor Cons�ruction Da�e FINAL INSPECTION Dote Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phone: 259�8810 ACKNOWLEDGEMENT OF CONDITIONS W F- � � � � � O a The undersigned owner/applicant hereby agrees to hold and ssve harm� less ihe Ci�y of Everett Irom any and all claims for damagos, cosls, ezpenses, or causes of action Ihat may t�rise becausn ot Inslallation and mainlenance of the improvoment or other right�of�way usn hereto applied tor and lurlher agrees to remove same upon notice Irom the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MVST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. ThI1S PERMIT MAY DE CANCELLED BV THE CITY UPON ANY STOI�PAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.