822 CADY RD 2018-01-02 MF Import

Date*421 Application For PUBLIC WORKS PERMIT Print or Type Only Mailing Address ! City P.M., Ww%s Perout is Ar•o�j e—O�—Y'�uJ 7� Mq Dl • ' Pu TouiTotAl re•ofee e Lest. x{.pt Poe Pud s 8eimcs Due S lY — Applicant Maih gAtldress ��Cily �n 2ip Phone Describe Proposed Work _41�� aY r 1 &,} Di 1 h an=C'- w — _ -- _ W Project Address lit known) — Attach four (4) copies of plans for proposed work - Draw to scale and nc le the following as 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 meat.urements DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 hrs. 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 Undergsound Service 48 hrs. before you dig. TCLL FREE NUMBER 1-800.424.5555. ��oB O 0 a Approved for Construction FINAL INSPECTION Approved as Constructed W PUBLIC WORKS DEPARTMENT Ever tt,WACedeStreet Everett, WA 98201 Phone. 259 8810 Date ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all cLdms 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 Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 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.