3515 OAKES AVE 2018-01-02 MF Import

1 1 U 1 Ll Date lam/ v f Anpbcation Foi PUBLIC WORKS PERMIT Print or Type Only TO POSTING 1-7-v-L- %3/3-_ Pubi¢WprkaP /�/+� /y� Bldg Dept ( `rC-T—J_— Publio worse Fee $ Text Fee Len spot Fee Paid S �J Balance Due $ a�� — a� ) -7� Applicant [Mailing Address City i �\ : oI/l1� Y Phone Describe Proposed Work l ` -J�� ? C �—/G r L r � � j_ E _ W Project Address lit known) E- Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable. • Property Lines • Centerline of street /A • Outline and dimensions of all existing and • Indicate North v+ proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE O PERMIT COIJDITIONS I.All calls for inspection shall be made 24 firs. in advance- p' one 259.8810. 2. All work shall be performed in accordance with this permit end current City of Everett Design and Construction Standards and Speci!ications. T 3. Call Location Underground Service 48 hrs. before you dig. 'OLL FREE NUMBER 1.800.424.5555. O U�G-Z��C� �LGQCi�GJT'/Y �J7'^/ / SX /✓!'x'I.0 C"Y � IA A G v+ Approved for Con r Mon Date FINAL INSPECTION Date Approved as Constructed i PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everele tt. WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF uONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the ity Everett from any and all claims for damages, costs, expense or a se of action that may arise because of installation and mai Lena c of the improvement or other right-of-way use herein applied or a I 1 rther agrees to remove same upon notice from the City an to rep puklic property damaged may. Date VGORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE 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.