7000 HARDESON RD 2018-01-02 MF Import

APpNcation For PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 9=1 259 10 r TYPE OR PRINT ONLY 226Wti7- ///66 .VE B''� Sr�SyirE Soe 6 G Owner Mailing Address City Applicant (46 f !�Mailing Address L10 &x6_9i3 �rity Describe Proposed Work & xwn &e.4,,omjU - qm.,y FOA �AQK�.v�A�EA. 2A .sly ©GTN�/��ES�Sc Date J _ /S /b Q/ Public Works Permit M _ / 6/-. / D Building Permit a Public Works Fee $ 12 ' 66 lei PROJECT ADDRESS (if known) ��N�Q��& ey-Q Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: 'Property tines 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities `Centerline of street •Indicate North *Show any proposed grading changes *Show measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5M. Ap ed fored for nsiN n ate , Ile y F AL INSPECTI N Date Approved as Constructed W 7` z O O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, oo.its, expenses, or causes of action that may arise because f installation and maintenance of the Improvementvassame t -way to ire la andfurtherp opees to remove same upon m Clty and to replace public property dame thereb WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATIFRERMIT 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 go DAYS DURATION.