2702 HOYT AVE 2018-01-02 MF Import

i{Date_L�! L k Application For PUBLIC WORKS PERMIT Print or Type Only Mailing TO POSTING_ 60,0z Puelq Wade Pernd Bldg Dear PuPL. Works Fee Tolal Fee $ Less APPI Fee Paid $ Balance Due $ z/z/2'� Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: O Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North Proposed structures on the lot • Show any Proposed grading changes • Existing and proposed utilities • Show meaturemenls —� DO NO7 WRITE LIELOW THIS LINE PERMIT CONDITIONS O 1. All calls for inspection shall be made 24 hrs. in advance- phone 259.8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Constructior, Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. �J/ /� �Q.'.,!?,�oa✓ CGrw.Crt��oi-c- /y}rl.Glt`-.. y -w /LP9�tJccn.�' O ed /08/90 4' 18PH 0000197 1��' .Lc�x�t az k-�l e/ CI / l ez-e°0 a-800DG879 O 2 Z yo 400038629 179:. C, .ier cai+ 7rtue✓ /2^2D gy DPT.210 CASH $0.00 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, - J expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the Approved r Censfruj�'Fln ate City and to replace public property damaged thereby. FIN< INSPECTION Dale _ —O —SG Approved as Constructed Signature of Applicant Date Pverrtt PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone: 259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.