2015 MAIN ST 2016-01-01 MF Import

� TYPE OR PRINT ONLY .IOHN WEST Applicatian For j PUBLIC WORKS PERMIT Date 3/5/96 PUBUC WORKS DEPARTMENT Pu61ic Works Permit fl ��1,,,7 3200 Cedar Sireet Eve;ett, Wq 98201 2F3-8810 Building Permit q S1 (17R T(� I'OSTING �� `*r�cWorksFee$ � 5234 S 4TH AVE 98203 252-9659 Mailing Address �i�Y Z�P Applicant Mailing Address City Zip Phone Describe Proposed Work PROJECT ADDRESS (if known) NEW DIIPLEX — 1145 BASIC 2015 MAIN ST LOT 2 Attach four (4) copies of plans for proposed work - Draw to scale and riot�� the following if applicable: •Property Lines 'Outline and dimensions of all existing and proposed siructures on the lot •Existing and proposed utilities •Centerline of sireet •Intlicate North •Show any proposed grading changes •Show measurements _ . . _ _ _ . _ _ ___ .. .. .... ....... PERMIT CUNDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 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 48 hrs. before you dig. TOLL FREE NUMBER 1-80!1-424-5555. Approved as Constmcted ACKNOWLEDGEMENT OF CONDITIONS The undereigned owneNapplicant hereby agrees to hold and savo hartnless the City of Everett from any and all claims for damages, costs, expenses, or causes ot action ihat may arise because of Installation and maintenance of the improvement or other right-of-way use hereto applied for and furiher agrees to remove same upon notice from the City and to replace public property damaged thereL�r. 3 WORK AUTHORIZED BY TIiIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF D TA E PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENRY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN 11PON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.