5817 FLEMING ST 2018-01-02 MF Import

IAir Aats — Application For PUBLIC W09KS PERMIT Print or Type Only Mailing Describe Proposed Work Project Address (if known) A City crty ''Z Public Works Permit B�%�/�� Bldg. Debt. e Q j /%o Publlc Work. Fee Total Fes Lou APPL Fee Paid Balance Due Ij 20 0 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 all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements Phone rnone PERMIT CONDITIONS . 1. All calls for inspection shall be made 24 hrs. in advance - phone 258-881 5. 2. All work shall be performed in accordance with this permit and current City of Fverett Design and Construction Standards and Specifications. 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NU ' i 1.800-424-5555. �iG.yi — 4�' —hJ.9y Tp Tis/E G'/� ,BEFoe E Approved for Cons-�uction J ate FINAL - SECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259-8815 ACKNOWLEDGEMENT OF CONDITIONS z 0 U) 0 a 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 W to replace public property damaged thereby. W�W RK AU1HORIZED BY THIS PERAT MUST BE STARTED WITHIN 1 0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.