1030 NORTH PARK DR 2018-01-02 MF Import

F Date-7/ Applirali, t PUBLIC WORKS PERMIT Print or Type Only IPubbc Work* Pair" a C Bldg Dept, a I Publw Works Fee S Total Fee Leasloot Fee Paid S eebnce Due S Describe Proposed Work 'T'�y'�—'•`-" - Project Address (if known) as Attach four (4) copies Of Plans lot proposed work - Draw to scale and note Incfollowing Cenof street able: property Lines • Indicate North • Outline and dimensions of all existing and 0 Show any proposed grading changes proposed structures on the lot a Show measurements • Existing and proposed utilities .... ,.. T 1.01TE BELOW THIS LINE PERMIT CONDITIONS 1. All Calls for inspection shall be made 24 his, it advance • phone 259-8810 'tee w,2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction NUMBER 1.800.424-555 5. Standards and Specifications. before you dig. TOLL 3. Call Location Underground Service 48 hrs. FREE �'jaaae Date Approved tot Construction Dale FINAL INSPECTION Approved as Construcled n PUBLIC WORKS DEPARTMENT 3200 Street Everett,tt, WA WA 98201 Phone: 259.8810 W mom c ca 0 z r/ 0 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 applied to eplacerther publ c9rees to prropertyremove same upodamaged thereby.notice from the Oate Signature of Applicant I1RAUTHORIZED OF DATE PE MS IT E H SSUED AND EREA TER ISRMIT MUST BE STARTED H 80DAYSTO 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.