5823 FLEMING ST 2018-01-02 MF Import

Detas2=' SL��5 Application For PUBLIC WORKS PERMIT Print or Type Only e Describe Proposed Work OHN )7i Malting Address Public Works Permit (/ •• �r Bldg. Dept .�7 77 Public Works Fee Total Fee Lose Applt Fee Paid Balance Due %L SS8' Phone Project Address (if known) Atd 15i n ! UJ Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: 11M11111M • Property Linea a Centerline of street a Outline and dimensions of all existing and a Indicate North proposed structures on the lot a Show any proposed grading changes a Existing and proposed utilities a Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1. All calls for inspection shall be made 24 hrs. in advance - phone 259.881 5. 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 Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. y /I�+OL�ca�vT Ir�vsr beze7z) S' of of= wAy TO TiS/E CI rY OF EVEIe"r TD k/iDEnl FLEA 1AI& St O Approved for ,eLeEA BETLJEEN ON—SjTE heivEvJQ/V AND ASPHALT Sr'/ZEET S/!e<< Ser P� O a NOWLEDGEMENT OF CONDITIONS The undersign 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 Siy and maintenance of the improvement or other right-of-way us, hereto applied for and further agrees to remove same upon notice from the is City and to replace public property damliged thereby. FINAL INSPECTION Date Approved as Constructed everctt PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett, WA 98201 Phone: 259.8815 WORV AUTHgRIZED BY THIS PERMIT UST BE STARTED WITHIN 180 PAYS OF DATE PERMIT IS IS D AND THEREAFTER IS TO BE IFILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.