4310 S 3RD AVE 2016-01-01 MF Import

TO POSTING Q �° q3 ��"z�"5 Date »--��-�2 Applicetion For PUBLIC WORKS PERMIT Prinl or Type Only PuOiic Works Permit • / BIEy. DaD�� • 3901s �Z� Puelic wo�b Fu Totel Fae s — Leas ADO�- Fee P�iO f e�lenro Uue S � � 35'3=2�2e- Owner Meiling;Address � � , , ' � Ciry � 2ip Phone Deacribe Proposed Woik mnar. Proleot Address (it known) — Attach four (a) copies of Plans for proposed work • Draw to scale end note the tollowing as appliceble: • Property lines � Outline and dimensions ol all ezisting and proposed structurea on the lot • Existing and proposed utilities • Centerline ol street • Indicete North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. All calls for inepection ahell be mede 24 hrs. in advance • phone 259�8810. 2. All work aheli be pert 'mad in eccordance with this permit and cunBnt Clty of Everett Design end Construction Standards end Specificationa 3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1•800�4245555. ,JT' - - j,�� 17/��---�Z-ZI-y� Ap�pr ved tor Construc�ion Date �.�1�� l�-� 7 • ri� 3 . FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS O[PARTMENT 3200 Cedar Street n Everet4 WA 9g201 Phone:259•BB10 ACKNON'LEDGEMENT OF CONDITIONS W H � � I • 1 L J � � O a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett Irom any and all claims for damages, cosis. expenses. or causes of action that may arise because of installat�or� and maintenance ol the improvement or other righl•of�way use heieto appliec' for further agrees to remove same upon notice from Ihe Cily and t e ace public property damaged ihereby. �..__ -2 - ( q -4 3 � a e ol Applicant Uate WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN �80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PLIRSUED TO COMPLETION. THIS PFRMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.