3514 HOYT AVE 2018-01-02 MF Import

Date _ Application For PUBLIC WORKS PERMIT Print or Type Only Public Works Permit Bldg, Dept eal Public Works Fee $ Total Fee Less APPL Fee Paid $ _— Ba'ance Due $ _- J14, Owner Mailing Address City Zip Phone fiea70 lev hf9it zS/y l 14V l Z)�Qra� IvW. Pr_1-isr7 Asti - G�16y Applicant ' Meiling Address City Zip Phone Describe Proposed Work Project Address fit known) 35-/�z Attach four (4)-:opies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existisa and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259.881 5. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specificatlons. 3. Call Location Underground Service 48 hrsbefore you dig. TOLL FREE NUMBER 1 -800-424.5555. 7 _ f 8fG ae�- ld 16;;D Approved for Construction FINAL INSPECTION Approved as Constructed everett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259-8815 b Date Date z O IQ KNOWLEDGEMENT 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 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 City and to r4lace public properly darfaged thereby. SlOnaturfe0f Applicant Date W RK UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 18 AYS OF DATE PERMIT IS 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.