3620 MCDOUGALL AVE 2018-01-02 MF Import

gate 31 Apphcahpn F& PUBLIC WORD O O O Frint or Type Only Owner k ..nosy Applicant PERMIT kidding .Address 00 0 0 to tri r; r? M tli Describe Proposed Work CZ,E4,e'zA6r& l Public Works Permit • �" Bldg Dept. a Public Workn Fee s toles Fee $- Less April Fee Paid S Balance Due 5 Zip Gily Zip Phone UJ Project Address lit known) .3% �� K SIG_ QOuyef CO�E'A/L�/Y Attach four (4) copies of plans for proposed work - Draw to 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 gran 7 changes • Existing and iroposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259.8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before �oryou dig. TOLL FREE NUMBER 1.800-424.5555. O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages. costs. _ n expenses. or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the Approv for Constr ion Date City and to r e public proper y damaged thereby. Ae--el-3/-OP% FINA INSPEC ION ' Late �z� Z /, Approved as Constructed SignatqoFof Applicant Date everetl PUBLIC WORKS DEPARTMENT V.ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Everett, WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone: 259.8810 PROJECT OVER 90 DAYS DURATION.