3505 LOWELL-SNOHOMISH RIVER RD ROTARY PARK 2018-01-02 MF Import

Date 4-4-95 ^" Application For PUBLIC WORKS PERMIT Print or Type Only City of Everett 3002 Wetmore Ave Everett 98201 Owner Mailing Address City Parks Dept Ryan Sass 259-0300 1.1t Mailing Address City Describe Proposed Work Rotary Park Project Address (if known) -?.SU 5 — L Public works Permit • 9 It-/5;& Bldg. Depl. a 47960 Public Works Fee S Total Fee Less Appi. Fee Paid Balance Due Zip Fhone Zip Phone 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 the lot • Existing and proposed utilities • Centerline of street • Indicate North • ,how any proposed grading changes • Show measurements PERMIT CONDITIONS 1..All calls for inspection shall be made 24 hrs. in advance - phone 259.881 O. 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 46 hrs, bafore you dig. TOLL FREE NUMBER 1.800-424-5555. 1, 40 & clone Per a gaeove d PZ4 �s .-_;i i 9-Al -9 s FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS APARTMENT 9 3200 Cedar Street T Everett, WA 98201 Pho •e: Y+9.8810 O^ am ACKNOWLEDGEMENT OF CONDITIONS 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 a-ctior, that may arise because of installation and maintenance of the improvement or other right-ot-way use hereto applied for and further agrees to remove same upon notice from the City nud to replace public property damaged thereby. Signatu e o ppllcant Date WORK AU HOR17ED BY THIS PERMIT MUST BE STARTED W'THIN 180 DAYS OF DATE PERMIT 1'3 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.