6101 OAKES AVE 2016-01-01 MF Import

Date.�� u .�. Applicalion For PUBLIC WORKS PERMIT Print or Type Only Publit Wods Porm� Bi�p Dept • — Puebc Wo�ks Fee S Tolal Fee L¢Ss APPL Fpe Pai� S Balanceoue � Address Describe Proposed Work � ` ' ,�� ' • � Projact Address lif known� Attach four (4) copies of plans for proposed work - Draw to scale and nole the lollowi�� as applicable: • Properli Lin?s • Oulline and dimensions of all ezisting antl proposed structurea on the lot • Exist,ng and proposed utilities • Centerline of sireel • Indicate North • Show any proposed gra�ing changes • Show measurements PERMIT CONDITIONS 1. All cells for inspection shall be made 24 hrs. in advance • phone 259-8810. 2. All work shell be peAormed in accordance with this permit and current Citv of Everett Design and Construction Stendards and Specifications. 3. Call Location Underground Service 40 hrs. belore you dig. TOLL FREE NUMBER 1•800'424�5555. lor ConSlrUclion �C;� �U1�� / �o ��a `�� �CKNON�LEDGEMENT OF GONDITIONS � O � � 0 a The undersigned ownevapplicant hereby agrees to hold and save harm� less lhe Gry of Everetl Irom any and all claims for damages, cosis. expenses. or causes ol action that may arise because ot installation and maintenance ol ihe improvement or other right-of�way use hereto applied lor and luriher agrees to remove same upon notice }rom ihe Date City and to replace public property damaoed thereby. FINAL INSPECTION Date Approved as Consiructed everet[ PUBLIC WORKS DEPARTMENT � 3200 Cedar Sireet Everetl, WA 98201 Phonc:259-BB10 Signature ol Applicant Date WORK AUTIiOR12[D BY TfiIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSU[D AND THEREAFTER IS TO BE DILIGENTLY PURSUEU TO GOMPLETION. THIS f'ERMIT MAY 8E- CNNGELLED �Y THE GTY UPON ANY STOPPi1GE OF WORK ON THIS f'ROJECT OVER 90 DAVS DURATION.