7620 HARDESON RD 2018-01-02 MF Import

Date In-1 a 0 Applicatio Dr ill 'OSTING MAR 0 5 1957 PUBLIC WOR S PERMIT Print or Type Only o N $ H C ti C Owner Mai li rl¢A _ ja City Putalc Works Parma Bldg Dept Puhbc Works Fee Total Fee S Less Audi Fee Peid $ Balance Due $ Applicant Mailing Address City Zip Phone W Project Address (if known) LU Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: ti • 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 259-881 O. 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 1.800-424-5555. for FINAL INSPECTION Date Approved as Constructed i PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 82011 Phone: 259-8810 i- O a 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 appli d for and further agrees to remove same upon notice from the Citynd to replace public property damaged thereby. �igneture of rApplicant ' ' Date WORK AUTHORIZE THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATA 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 THIS PROJECT OVER 90 DAYS DURATION.