4626 GREELY ST 2018-01-02 MF Import

Application For PUBLIC WORKS PERMIT )riot or Type Only Describe Proposed Work _ Address (if known) v,rbi�t war., vnrmn . � � 329 wa. Davr PublIC warn, Fna 5 Torar Faa Lan APPt Fna Pa,C S Dua $ G�(v zlo (7i'rc.ly Cy�lc�T l s2 Marling Address _� City Zip Phone As e-/- Marling Address City Zip Phone four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines •Centerline of street e Outline and dimensions of all existing and a 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 hrs. in advance - phone 259-881 5. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Conetruetion Standards and Specifications. 3. Call i-ocatlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424-5555. AL INSPECTION ,roved as Constructed rverett PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 98201 Phone: 259-881 5 to Date ACKNOWLEDGEMENT OF CONDITIONS Uj U) im 0 n z 0 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 right-of-way use hereto applied for and further agrees to remove same upon notice from the City and replace public property, damsl� thereby. signature of Applicant ware 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.