2731 FEDERAL AVE 2018-01-02 MF Import

Date S-31-9io Application For e PUBLIC WORKS PERMIT Print or Type Only Owner 3f Fe Public Works Permit s Bldg. Dept. e Public Works Fee Total Fee i Leas AppL Fee Paid : Balance Due a C=✓e(-C/I yY1o/ LS t —11 City Zip Phone Eve-re-7F 9g yo/ 2 s7. -// City Zip Phone Describe Proposed Work -+-' ` a vj. o� ""r w C � s�7 dr�►�.C�`-u�C `t0 -$�7St1 SS `i0 'LZ` u-tro 11 Project Address (if known) Z Attach to* (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 all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS I. 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 cyrrent City of Everett Design and Construction Standards and Specifications. 3. Call Locetlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.4245555. FINAL INSPECTION Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett W.498201 rd] Phone: 259.8810 W O z 0 0 a o d � O KNOWLEDGEMENT F 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 19 remove same upon notice from the Date City and to replace public pro y damaged thereby. Date -31 WORK AU ZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAY —OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUEn f0 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIS Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVcR 90 DAYS DURATION.