3706 HOYT AVE 2018-01-02 MF Import

�t- ��—�s�6 Date � qpplication For PUBLI� WORKS PE[�iVIIT Print or Type Only Owner Describe Proposed Work �, � -- Mailing AAdress Mailinq Address ��P��xc VJa�s PrpwK➢—�—�_ �� ema oeo� . l� �_ li �1,1-- Public Woeks Fec S Total Fee Less Appl. �ee Pa�a 5 oa�.a��e �ue o Zip Phone Projecl Address �it known) ��'�`� �` �,� qttach lour (A) copies of plans for proposed work - Draw to scale and note � Cc^�'eWine of �Ppe'� able: • Properry Lines • Indicate North • Outline and dimensions ol all existing and � ghow any proposed 9raGing changes proposed stnicWres on the lot � g��aw measurements • Exrsiing and proposed uliliiie5 PERMIT CONDITIONS 1. All calls tor inspection shall be made 24 hrs. in advance - phone 25g•8810. 2. All work shall be performed in accordance with this permit and currenl City of EvereU Design and Construc�ion Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL PREE NUMBER 1•800•424-55 . Construction ( �, \ ;-. �-- � ��-�� -� Date FIN�L INSPECTION Date �pproved as Constructed i,�� PUBLICWORKSDEPARTMENT � 3200 Cedar Street Everett. WA 98201 Phone�.259-6tl10 � �� _ ✓ / Z O � V/ O a ACKNOWLEDGEMENT OF CONCITIONS The undeisigned owner/applicant hereby agrees to hold and save harm- le,s Ihe City of Fve�et� I�om any antl ail ciaims for tlamages, costs, eapenses. or causes of aclion that may arise because of installation and maintenance o( ihe improvement or other right-of-way use hereto applied lor and Wrther a9rees to remove same upon notice Irnm the City and lo replace Pu�lic property damaged lhereby. Datc Si�nature ol Applicant BORDAYSTOFRDAT�E PERMIT ISEISSUED ANDBTHEREAFTEFl ISHTO BE DILIGENTLY PURSUEU TO COMPLETION. THIS PERMIT MAV BE CANCELLFD BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.