4908 HARBOR LN 2018-01-02 MF Import

3-z -PC Application For PUBLIC WORKS PERMIT rint or Type Only ec2o ir" aelf TrO Mailing Address __jpwrZ41ro6S C, rsrCeuT. -3b/C 7S"7 c 9 Applicant Mail.,q Address City Zi Describe Proposed Work C"t'J Project Address of known) PubhC Woi ka Permit • �L /� Bldg Dept L • �� / r2.7 Night; Works Fee S Total Fee Less April Fee Paid S ar,ance Due s Zb00 3y(2 3��7 Phone Fz•�u p Phone Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS All calls for inspection shall be made 24 hrs, in advance - phone 259.881 5. All work shall he performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. Call Location Underground Service 48 firs. before you dig. TOLL FREE NUMBER 1-800.424.5555. 7• rNSi.gCG �P/!/E"idf.�� gi�iC'Oit/ 3 0 7 t��/rrJv E['i sTicJG C�i<i'/3 J'12 6 Approved tot Construotion / ' 'Date <fll.—j-.; f7 FINAL WSPECTfON Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT Q 3200 Cedar Street Everett. WA 98201 Phone: 259-8815 %%) E�ieESS/ON, ACKNOWLEDGEMENT OF CONDITIONS z O O a 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 to replace public property damaged thereby. 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 THI" PROJECT OVER 90 DAYS DURATION.