4908 DOVER ST 2018-01-02 MF Import

Date4�To ' Application For PUBLIC WORKS PERMIT Print or Type Only ng Public World Permit + p� Bldg. Dept. e O Public Works Fee $ Total Fee Less AppL Fee Paid S Balance Due $ r-'*�o Zip Phone Mailing Address Gty Lip rnone Describe Proposed WorK Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on Cie lot • Existing and proposed utilities DO ',10 • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements LI PERMIT CONDIT1014S 1. All calls for inspection shall be made 24 hrs. in advance - phone 259.881 5. 2. Ail 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. T//E !�E'iG Ec l of% o C Tis/. rs �Es�®Ei✓�£ /S Tp BE /�/%r/Ev cdiTii 91PiYh'Gi OAP C'�tJGeET� To ��Er/6nJT (aFAL'EG Aeom ,dc'/i✓6 /je.Y7CKEIJ ew7o Cly S7.eEFT Approved for Construe ion FINAL !NSPECTIGITr Date Approved as Constructed evereu PUBLIC WORKS DEPARTMENT ' 3200 Cedar Street Everett, WA 98201 Phone: 259.8815 Cvsn�CE7�'o .c s'rE�, r ACKNOWLEDGEMENT O ONDITIONS W H C0 In O z O CA O a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages. � osts. expenses, or causes of action that may arise because of installation and maintenance of the improvement or other ri ht-ol-way use hereto applied for and further agrees to removes upon notice from the City and,ty re I public property da ed thereby. Sc, !mogd re (Applicant Date W K A THORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.