6226 FLEMING ST 2016-01-01 MF Import

Date i /�3/��j � i Applicatien For PUBLI� WORKS PERMIT Print or Type Only �Z qpplicant fk Mailing Address Describe Proposed Work ��lQ�� ! •� Project Address (i( knownl City Attach four (4) copies of plans tor nroposed work - Draw to scale ancl nole the following as applicable: • P�operty Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities Public. Wo�ks Perm�t • /` �b_ 6i�g. De01. + � 7 / _�-Q�-- PuGI¢ WarFs Fee Total Fee s _ Less Anol Fae Paie S_�j� Balance Duc S �( S�� • Centerline of street • Indicate North • Show any proposed grading changes � Show measurements Phone PERN�IT CONDITIONS 1. All calls for inspectlon shr.n �-,e inade 24 hrs. in advance • phone 259•8810. 2. All work shall be pedormed in accordance with this permit and current City ot Everett Des(gn and Construction Standards and Spedfications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800�424•5555. � (�t'/i2-- 2�C L��C�L��iZ-� ��I�G.�(��l✓C� C//%l-Lt.2l�i �� i ��.� �-�zn/� /.�� /�z.�-';> Approved for Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Sireet Everelt, WA 98201 Phone:259•6910 ACKNOWLEDGEMENT OF COND�TIONS W F- � � O � � � a The undersigned owner/applicant hareby agrees to hold and save harm• less the Ciry of Everett Irom any and all claims for damages, wsts, expenses, or causes ot action that may arise because of installation and maintenance of the improvement or other righbohway use hereto z;;plied for and !urlher agrees to remove same upon notice irom the City and to replace public property damaged thereby. m �e WORK AUT RIZED BY THIS PERMIT MUST BE STARTED WITNIN 180 DAYS F DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.