5410 S 1ST AVE 2016-01-01 MF Import

', �a� f 5 Applieation fa PUBLIC WORKS PERMIT Print or Type Only c MeiNng �wa..�. �— eWp D�Dt • Puelic worke Fee i Tot�l Fe� Le�� ADO� Fae P�W i e�l�nca Oue i � 0 vc°rv/% 82� g 337-693� pplicant Mailing Adtlress City Zip Phone Describe Proposed Work Prolect Address (if known) Attach lour (4) copies of plans for proposed work • Oraw to scale and note the following as applicable: � Property Lines • Cen�erline of street • Outline and dimensions of all existing antl • Indicale North � proposed sf�ucturea on fhe lot • Show any p�oposed grading changes • Ezisting and proposed utilities � Show measuremenis PERMIT CONDITIONS . 1. All cells for Inspection shall be made 24 hre. in advance • phone 2S&BBiO. 2. All work shall be peAormed In accordance with this permit end current Ciry of Everett Deslgn end Construction Standerds fnd Specificationa. 3. Call Locetion Underground Service 48 hrs. bafore you dig. TOLL FREE NUMlER 1•800-424•5555. -. ■.�-- ^�• ��ZOS10(�1 GON?jZpl.. f-�S 1i12C-ZTEv �II! t 1�s r�Zq� I�� � ��oQ 3-�i-�1 Approved lor Conslrudion Date FINAL INSPECTION qpproved as ConstruC!ad everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phone: 259�BB70 6Y r'�6� i c, �vo2kS W F- � 03/12/91 31:4:�RM ODOqN6001 � / DPT.20 f40.00 O CEIEp; f40.00 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owneqapplicant hereby agrees to hold and save harm- less thn City of Everett irom any and all claims lor damages, costs, e■penses, or causes ol action that may arise because of instatlation and mainte�ance af the improvemenl or other right-of-way use hereto applied for and tur�her agrees to remove same upon notice from the City an•'a replace public propert� dama ed thereby. Si nature of ica t te -. WORK AUT R BY THIS PERMIT MUST BE ART WITHIN 180 DAYS O E PERMIT IS ISSUEO �ND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 1HIS PROJECT OVER 90 DAYS DURATION. .