4602 W VIEW DR 2018-01-02 MF Import

Date9- L3 • Application For PUBLIC WORKS PERMIT Print or Type Only Public P Bldg Deprt-� _ Pub Le WOMB Fee Tolel Fee $ Less Appt Fee Pa,d $ Balance No $ -2 c7i'm Phone Address City GIP llru"r Describe Proposed Work Re - W'C L--F EF / �Y� Project Address lit known) 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 grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made P4 hrs. in advanco - phone 259.8810. 2. All work shall be performed in accordance with this perw4t and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Servi„e 48 hrs. before yvu dig. TOLL FREE NUMBER 1-800.424.5555. 4. I n t I It f �1G� as i 2vtc4arrJ .r I aki # z o` f' a 'oil tl L l lu It 00 �'-V' ry X4 CFe' a ^caJ- r Approved for Construction Dale FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF CONDITIONS W T z O i N O a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. 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 City and to replace Public property damaged thereby. Signatulyof Applicant Date 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.