2209 MADISON ST 2016-01-01 MF Import

, PUBLIC WORlCS PERMIT � ,i aueuc wowcs oePnRrMexr �� t 3200 Cedar SYreet Everetl, WA 98201 259-8810 TYPE OR PRINT ONLY �� 1 a�w� w«w r«mn r Building Pertntt M _ audk w«ks Fee S _ p�� Mafling Address �nY aP �O^O A.2P„� �bo � ��l-3 73 Appl t Mallinq AdMeas �nY vP � Ph°^e � n n B . I— . it . A. Proposed Work PROJECT ADDRESS (if known) ��U � � � `�`�-�'>+�- Attech four (4) copbs of plans for proposed wak - Orew to scale and note the tollowing H applkable: �Property LJnes 'Oulline and dimenslons of ell ezlsling end proposed structures on the At 'Exlsting end proposed utiltties �Centerline of street Mndicete North 'Show [my proposed grading ehanges 5how meeaurertients PERMIT CONDITICPIS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be porformed in accordance with this pertnit and current City of Everett Design and Construction Standards and ; peciflcations. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4246665. � �1:��.�.c��' -�icn� � �-z j�'� -�� � P,�.�-,�� y- y�-� ��:�- �- � s=� 7 FINAL INSPECTION Date Approved as Constructed W � � � � O � � 0 a ACKNOWLEDGEMENT OF CONDITIONS Ths unde�signed owner/applicant hereby egrees to hold and save he�mbsa the City of Everett hom any and ail claims for damages, cosls, expenses, a � — causes of actlon thet may arise because ot instelletbn and maintenance of � the knprovement a ott�er rigMof-way use hbeto applied for and turtlbr ap�ees to remove seme upon notice fiom the Ciry and to replaee publb (�roperty damaged theraby. G��, �!, G� y �9 �.� Signature of kant " � - � � WORK AUTHORIZED BY THIS PERMIT MUST BE STAHfED JJfTHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE pLl(iENTLY PURSUED TO COMPLEf10N. TFiIS PERMIT MAY BE CANCELLED BY THE GTY UPON ANY STOPPAGE OF WORK ON THIS PHOJECT OVER 90 DAYS WRATION.