920 W MARINE VIEW DR PERFORMANCE MARINE 2018-01-02 MF Import

Date-(-0=- '? Applic Lion For PUBLIC WORKS PERMIT Print or Type Only fit PUG. IV.,"Plrmx x eiO4 DIM • _ Pubk War. he For Fir. 'S Leu Aral Fbe PI $ &runt. 0u0 S Owner m.. m y nuuuas —•- —6/// I/CvQ Phone Applicant —T Mailing Address C'Iy Z'p / Describe Proposed Work Fu +ld Project Address lit known) Attach tour (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions or 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 hire. In advance - phone 259.881 5. 2. All work shall be performed in accordance with this permit and current City or Everett Design and Construction Standards and Specifications 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 1.800.424.5555. Approved for Construction Date FINAL INSPECTION Date Approved as Constructed Pv,fett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259-8815 ACKNOWLEDGEMENT OF CONDITIONS ch M O^ The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett Irom any and all claims for damages, costa expense% or causes of action that may arise because of instalatlon and maintenance of the Improvement or other nght•of-way use hereto applied for and IL ther agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Oele WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 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.