3715 OAKES AVE 2016-01-01 MF Import

Date_1! ✓ c"�� Applicalion For PUBLIC WORKS PERMIT Print or Type Only Mailing Address Describe Proposed Work ��A �1:�^ /y�� Project Atldress (if known) PubLcl4oiksPer p• Bltlg. Dapt • _ Publlc Wodg Fee Tolal fea a Less AppL Fee Paia $ Bnlante �ua S City City 2iP Phone Attach fou: � ; of plans for proposed work - Draw to scale and note the following as applicabie: Approved for rty Lines .a and tlimensions of all ezisting and osed structures on Ihe lot .ting and proposed ui Jities PERMIT CONDITIONS • Centerline of street • Indicate North • Show any proposed graaing changes • Show measurements 1. All calls for inspection shall be made 24 hrs. in advance - phone 259•881 5. 2. All work shell be peAormed in accordance with this permit and current City of Everett Design and Construction Standerds and Specifications. 3. Call Locetion Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1•800-42A•$5$5. %�v6'� iG LcJd,�,ts' �,�-,2r�iT �c%T ��?vi,�,l> FIPIAL INSPECTION Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everetl, WA 98201 Phone:259�8815 ACKNOWLEDGEMENT OF CONDITIONS The undersgned owner/apFlicant hereby agrees to hold and save harm• less the City of Everetl Irom any and all claims for damages, costs, expen�es, or causes of action that may arise becauso ol installation and maintenance of the improvement or other right-of-way use hr.reto applied for and further agrees to remove s�ame upon notice from ihe Date City and to reptace public pro�erty damaged Ihereby. Date Signature ot Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS �SSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BF. CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJ[CT OVER RO DAYS DURP i ION.