7000 HARDESON RD 2018-01-02 MF Import

Application For PUBLIC WORKS PERMIT TYPE OR PRINT ONLY rI Describe Proposed Work PROJECT ADDRESS (if known) PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 96201 259-8810 Date Public Works Permit A o Building Permit 4 �/' Public Works Fee S _ 666 Mailing Address City ip phone D2S- //Z r i�yF�✓yE ,uE 6Eu�rc�,,"�9 96t�J7-9.�,+ Mailing Address /jb &X 6 - 9 7 3p by Zip Phone LUG 0y iiD/,U'v i�i fJi✓ '4:0k eU/C,O/ r) b AtiQ / OG eNa Attach four (4) rxrpies of plans for proposed work - Draw to scale and note the following if applicable: 'Property Lines `Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities aCenterline of street alndicate North 'Show any proposed grading changes 'Show measurements s- ZSoo 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 1480Q-424-55M. Date ram. APP�Med for,C'ons jmcN6n Dato FINAL INSPECTION Date Approved as Constructed W H N ca O z O 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to fold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may an because f installation and maintenance of the improvement anther dddppphhht-¢ way o applied for and further egress to rerric a sa n rysf}Cq.>(rOm City and to replace public property dame the /`// 1:51Z WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATFT'ERMIT 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.