1341 W MUKILTEO BLVD 2016-01-01 MF Import

Date � — � � — � � • • Public Wo�ks Permil • � Applicatlon For emq. oeoi. •� � 7�� PUBLIC WORK� PERMIT Print or Type Only -e' o U � v (x ity � � eVe ��,Y PuElie Works Fue Totnl Foo S — Lea9 A00� Fae Pald $ — Belance Oue S _ �� Phoi " �l �� 3 wo,k T��l�l��tio�✓ To l�i-Qs"� - EI��, " Project .4ddress (if known) Attach four (4) copies of plans lor proposed work • Draw lo scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1, All calls for inspection shall be made 24 hrs. in advance - phone 259•881 5. 2. All work shall be performed in accordance wilh this permit and current City ot Everett Design and Construdion Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. �f%i% %�U�laC: GrJc�,�.r�' t2",��/% ��,�u�.�YG� �,t��% � j�s- Approved lor Construction FINAL INSPECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTPAENT � 3200 Cedar Slreet Everet�, WA 98201 Phone:259-8015 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everetl Irom any and all claims lor damages, costs, expenses, or causes ol action that may arise because of installation and maintenance ot the improvement or olher right•of-way use hereto applied (or and lurther agrees to remove same upon notice irom the City and to replace public properry damc9ed thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED Y�'ITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TU 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.