714 GRAND AVE 2016-01-01 MF Import

.� r + oete� j� Y Applicetion For PUBLIC WORKS PERMIT Print or Type Only I� 7 �S� �� ,� Describe Proposed Work ��' fi �n t Ki / C��` 1 Pro�ect Address (if known) Publlc Worb Permlt • eiaa oen�. • _ Publlc wo�ks Fee s TotN Fee Leen AGpt Fen Pald S Bel�nca Duu S Zip Phone Attech four (4) copies of plans lor proposed wof%- Draw to scale and �ote lhe following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of slreet • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance • phone 259•881 5. 2. Ail work shell be peAormed in eccordance with this permit and current City of Everett Design and Construction Standards and Spaci�ications. 3. Call Location Unaorground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800•424•5555. Approved for Construction Date FINAL INSPECTION Date C.pproved as Constracted everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Evere��, WA 98201 Phone:259-8815 � P� � � � ,�/�� ACKNOWLE GEMENT OF CONDIT�ONS W � � � � O � � � a i he undersigned owner/applicant hereby agrees lo hold and save harm- less the City oi Everett irom any and all claims for damages, cosls, expenses, or causes of action that may arise because ol instatlation and maintenance ot the improvement or other righbof-way use hereto applied lor and fu�ther agrees to remove same upon notice from the City and to replace public property damaged thereby. �gnature of Applicant um� WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENT�Y PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY TFiE CITY UPON ANY STOPPAGE OF WOFK ON THIS PROJECT OVER 50 DAYS DURATION. ��