7620 HARDESON RD 2018-01-02 MF Import

Date-l—W 96 Application For PUBLIC WORKS P MIT MAR Print or Type OnTO POSTING Describe Proposed Work �+".}[ty �,[ kkin� 3 a e viii J Popl,o Works Permit Bldg Dept. Public wares Fee $ `7 �` Tate) Fee _� V Less Appl Fee Paid $ Balance oe Due $ f Project Address (if known) P_,py(r e s - �zZ Attach four (4) copies of plaits 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 DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1. All calls for inspection shall be made 24 hrs. 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 firs. before you dig. TOLL FREE NUMBER 1.800-424.5555. a NpprOJCn as GonStructed everett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS 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 CitEtoLI repla public property damaged thereby. IQ Signature of plica t Date WORK AUTHORIZ D BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT 15 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.