7325 E HEATHER WAY 2018-01-02 MF Import

Date1L.L((� Apph-ation For 1 Po°ie wor.s Pe�mn e erav o.pr PUBLIC WORKS PERMIT r.,.,nF°° ... Air, Fee P... a Print cr Type Only TO POSTING emer.o.e s �Oeo Owner Mailing Address Gty hone Applicant Mailing Address Cu) Zip Phone Describe Proposed Work Q1'`!) 32 — Project Adtlress (of known) Attach four 141 copies of plans for proposed work - Draw to scale and note the following as applicable • P+operty 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 measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 his. in advance - phone 259-8e 10. 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 1-800-424.5555. Approyefy l or Consbuction Date 00�_ ALP/3 FINAL N 1 Dale Approveded as as Conshuctetl PUBLIC WORKS DEPARTMENT 3200 Cedar Street i Everett, WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS IT t N O 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 righ4o4way use hereto applied for and further agrees to remove same upon notice from the City and to replace public properly damaged thereby. Signature of Applicant � Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS 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.