2618 GRAND AVE 2016-01-01 MF Import

�ate ' _ 1 1 ApD��calion Fot PUBLIC WORKS PERMIT Print or Type Only Rr01�c WOA� P� t� 1�;�;� / ' BIEp. D�ct • - PubIK Workc F�a ' Tol�l Fes Leu �poL Fas PNE f— Bu�ncs ou� t 1� Gl�% 0 D�acNbe P�opua:.d Work P�o�act Add�ass (if known) � � � 0 Attach four (4) copies of plens for p�oposed work • Property Linea • Outline and dlmensions of all existing and proposed siructuree on the lot • Ezisti�g and Dropoaed utllities to scale and note the tollowing as applicahle: � Centerline of street • Indicate North • Shovo any proposed grading changes • Show measurements PERMIT CONDITIONS t. All calls for inspection shall be made 24 hrs. in advance - phone 259•881 5. 2. All work shell be performed in eccordence with this permit and current City of Everett Design and Construction Stendards end Speciflcatlons 3. Cali Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424-5555. y� T dE Cd.t/ST,evGT AS P�.E PG �2/S AP�vvc.� Ativ ;�e,-Ev i�z��t3S�. �'.�� .3�� //�1H/.�s� Approved for Const ction ate �r.�.�-�-�-,-�c _ FIlf ,. �PECTION Date Approved as Construct)d everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phone:259-BB15 ACKNO�VLEDGEMENT OF (�ONDITIONS The undersigned owner/applicant hereby agrees to hold and save herm- less the City of Everett Irom any and all claims lor dameges, cosla, erpenses, or causes of actio� that may arise because ot instnllation and maintenance ot the improvement or other right•of•way use hereto applied for and further ac�rees to remove seme upon notice from the City and ro replace public property.�alnaged thereby. -�- WOR�AUTHORIZED BY THIS PERMIT MUST F.E STARTED WITHIN 180 AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLI' PURSUED TO COMPLETION. T�HIS PERMIT MAY BE CANCELLEO BY TF�E CITY UPGN ANY STOFPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUf7ATION.