7727 EASY ST 2016-01-01 MF Import

oetel��8 < < Pu�I¢Wa�ka P Application For em�.oao�.• PUBLIC WORKS PERMIT PublicWorksFee Ta�,�Fa� s Less Apo�Fee Peid S Print or Type Only ea�a��a o�e s ��a ,�11 �� s�-- � ��s�3 Owner Mailing Address City 2ip Phone +�' � t�a�-in I��«.L 8� �- ��m� �r �83 qD Applicent Mailing Address City Zip Phone Describe Proposed Work r'1//l�� L�/ l.l ( J� �//C J Pro�ect Address(if known) / � � � Attech lour(4)copies ol plans for proposed work• Draw to. ale and note the followi�g as applica6le: � • Property Lines • Centerline of street � • O�tline and dimens�ons of all existing and • �ndicale North proposed structures on the lot • Show any proposed grading changes � Existing and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE PFRMIT CONDITIONS O 1.All calls lor inspection shall be mede 24 hrs.in advance•phone 259•8810. � 2.All work shnll he pe�formed in accordance with this permit and current City of Everett Design and Consiruction Standards and Specificetio�s. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•$QO•424•5555. � ��- R�gvr� ��8e � �� H � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold ai�d save harm- less ihe City of Evere�� from any and all claims lor damages, costs, expenses. or causes of aclion that may arise becausr, of installation and maintenance of the improvement or other right-ohway use hereto applied for anA lurther agrees to remove same upor nolice Irom ihe Appmved for Construction Date City and to replace public property damaged thereby. FINAL INSPECTION Date App�oved as Constructed � Signature ol Applicant Date eve�ett PUBLICWORKSDEPARTMENT WORK AUTHORI2[D 6Y THIS PERMIT MUST BE STARTED WITHIN � 3200CedarStreet 180 DAYS OF DA7E PERMIT IS ISSUED AND THEMEAFTER IS TO Everett,WA98201 BE DIIIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Phone.259-8870 CANCELLED BY THE CITY UPON�NY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.