5711 HIGHWAY PL 2018-01-02 MF Import

Date 2O K Application For PUBLIC WORKS PERMIT Print or Type Only w,n. eav owe . eum�rwomFe.��J��'�;� rei i Fee I..., April ree Pna f ea.,u ore f O'Conner And Oehler 9210 Evergreen Way Eve,ett 98204 353-770V Owner Mailing Address Ciry Zip Phone Same Applicant Mailing Address City Zip Phone Construct thirty—six unit apartment Describe Piuposed Work W Project Address lit known) Attach lour (4) copies of plans for proposed work. Draw to scale and no a the following as applicable: • Property Lines • Cenlerline of street /w • Outhre and dimensions of all existing and • Indicate North v+ proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE O . PERMIT CONDITIONS 1. All calls for inspection shall be made 24 his. In advance. phone 259.8815. ME) 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Cell Location Underground Setvice 48 hisbefore you dig. TOLL FREE NUMBER 1-800.424.5555. .✓,W�e110/,1 &Ialwl 3-,-96 O ACKNOWLEDGEMENT OF CONDITIONS EtNRZ'fNSPECTION Ualo ApPlpveo as Constructed everen PUBLIC WORKS DEPARTMENT .1200 Cedar Street Everett. WA 98201 Phone: 259-8815 The undersigned owner/applicant hereby agrees to hold and save harm. less the City of Everett from any and all claims for damage, costa expenses, or causes of actlal 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 avid to replace public property damaged thereby. Signature of Applicant Late 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.