6923 EVERGREEN WAY SPEEDY AUTO GLASS 2018-01-02 MF Import

Date Application For PUBLIC WO�iKS PERNlII" Print or Type Only Mailing Address Mailing Address Describe Proposed Work Project Address (il known) Atlach lour (4) copies oi pl�ns (or proposed work - Draw to • Property Lines • Outline and dimensions of all existing and proposed structures on lhe lot s Existing and proposed ulilities Gny ��y note the following as applicable: PuOLc Works Pcrmil s BItlO� Depl. � _ Puohc Worts Fen S Tolal Feo Lea: AOPI. Fee Paid S Balance Oue $ Phone �`��` �-�`�� • Centerline ot street • Indicate North • Show any proposecl grading changes • Show measurements Nnone PERMIT CONDITIONS 7. All calls lor inspection shall be made 24 hrs. in advance • phone 259•881 5. 2. All work shall be performed in accordance with this permit and currenl Cily oi Everetl Design and Construction Standards and Saeci'ications. 3. Call Loca�ion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. yv f�,��-,� �c��,�fs- for Conslruction /��i�z�;T ,��=�'U,,.�� .o Date FINA! INSPECTION Date AGProved as Construcled everett PUBLIG WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phone: 259-BA7 5 �D//9i -% j _� ACKNOWLEDGEMENT OF CO.�DITIONS �U The undersi9ned owneryapplicant nereby agraes to hold and save harm- less the City of Evereit from any and all claims tor damages, costs, expenses, or causes ot action Ihat may arise because of installalion and maintenance of the improvement or other right-uf-way use herem applied for and furthe� agrees to remove same upon notice I�om the City and to replace public properry damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TG BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8E CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVEF 90 DAYS DURATION.