8015 HAMLET LN 2018-01-02 MF Import

I Date—LIJUA Application Fcr PUBLIC WORKS PERMIT Public work: Parma e yY /3 aldp. DePI. � Public Worke Fee s O� '1 G, V Total Fee Lea• Appl. Fee Paid $ Silence Due S "ZU Pript or Type Only tiling Address City Zip Pnone z 0 Describe Proposed Work /11 Project Address if known) f II n as applicable: Attach four (4) copies of plans for proposed work - Draw to scale and note t Centee 0 rline g of street • Property Lines • Indicate North • Outline and dimensions all existing and • Show any proposeu grading changes proposed structures the jut • Show measlirements • Existing and proposedd utilities L PERMIT CONDITIONS 1. All calls for inspection shall be made 24 Iris. in advance -phone 259.8815. 2. All work shall be performed in accordance with this permit and current Cit, 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. FA FIN'XL INSPI Approved as eevereri struclion PUBLIC WORKS D 3200 Cedar Street Everett, WA 98201 Phone: 259.8815 ' T LL' N= m 00 m o r-r C Ci O 3 -i 2 m F. .o z r O r� M1 m o v -A m z m en o r r-"r m O N N m z r"n m a ^ CIO") Y / x O n z aN z O n m ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to bold 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-ol way use hereto applied.1)r and further agrees to remove same upon notice from the City and Ip replace public property damaged thereby. Date Date Ignatu re of Applira nt WORK AUTHORIZED BY THIS PERMIT MUST B TED WITHIN T 180 DAYS OF DATE PERMIT IS ISSUED II TH EAFTER IS TO 18 DILIGENTL" PURSUED TO COMPL JN. THIF PEfiM1T MAY IS CA ELLED BY THE CITY UPON AtJY STOPPA3E OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.