2315 W CASINO RD 2018-01-02 MF Import

:..v.�=5'Nrftf"M,"h.W-y—r•.-.I.,�r„fir a ... a....�;�w � Date*/&& Aprl.cabol'CFor PUBLIC WOR�S PERMIT O T08.POSTING a I ) 15 t' Print or Type Only � �N Applicant Mailing Proposed Work J Publm Wore Permit e 88 33/ Bldg Dept e Pubtw li fee Total Fee Leo,Fee Paidi Balancem D Due i f/0�7J 64 2--;22 - 516-evo - /8-83/ ass .z3o51 r Zip Phone Uj Project Address I f known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable. • Property Lines • Centerline of street • Outline and dimensions of 311 existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All cells for Inspection shall be made 24 hrs. in advance - phone 259.8810. M) 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 33.. Call Location Underground Service 48 his. before you dog TOLL FREE NUMBER 1.800.424.5555. z 0 a ty/P/d7 9//s proved for shuction Date 1.� IN FINAL INSP�TION Date Approved as Constructed i PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 982018201 Phone: 259-8810 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. ^SignatOe of Applicant Date WORK AUTPORIZED BY THIS PERMIT MUST E STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED 10 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.