431 MORGAN RD 2018-01-02 MF Import

�ete IU Application For PUBLIC WORKS PERMIT Print or Type Only � Zip - — -- PuElic WorMs Perm � BIEp. Dept • � Pu�bt Work� Fee Totel Fee f Less AppL Fee PaiE f Bsl�neeDue S Phone Applicant Mailing Address Ciry Zip Phone Describe Proposed Work l'� 'A (� G � �O � �L �p-�_ Project Address (if known) Attach lour (4) copies of plans for proposed work - Draw to scale and note the folluwing as appiicabie: � Property Lines • Centerline of street • Outline and dimensions of a�l existing and • Indicat? North proposed structures on the lot • Show eny proposed grading chen6,s • Ezisting end proposed utiiities • Show measurements PERMIT CONDITIONS �. All calls for inspection shell be made 24 hra in advance • phone 259•881 5. 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Const�uclion Standards and Specilications. 3. Call Locatlon Urde�ground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. /UO �U/�CiG GcJo,E".E:S' f-�E.�/�'i% �r'EG+Ui,eEO IApproved for Construction Date FINAL INSPECTION Date Approved as Constructed everett PUBLIC WORY.S DEPARTMENT � 3200 Cedar Street Eve�e�t, WA 90201 Phone: 259�8815 �%Gtf✓ /U/ao/86 ACKNOWLEDGEMENT OF CONDITIONS W � � � O � � O a The undersigned owner/applicant hereby agrees to hold and save harm• less the City ol Everett from any and all cla�ms for damages, costs, ezpenses, or causes of action that may arise because of installation and maintenance ul the improvement or other right-of�way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property d2maged thereby. Signuture of Applicant Date N'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERM�T IS ISSUED AND THEREAFTER IS TO BE DILIGFNTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.