4609 W VIEW DR 2018-01-02 MF Import

Date �'-4W I Pub$ _ WorFa Permit p r Bld9. pert • it �n �� Sr/ Application For 7T —Jr PUBLIC WORKS PERMIT Public W is Feork.Fe ee — $ Less April. Fee Paid $ — BalencaDue $ _ Print or Type Only RQ,� Il n L r-i 6 0 9 r,....t Owner Mailing Address City Zip Phone 7L Mailing Describe Proposed Work Zip Project Address (if known) Attach four (4) copies of plans lot proposed work - Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS I. All calls for inspection shall be made 24 hrs. in advance - phone 259.8815. 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 his. before you dig. TOLL FREE NUMBER 1 .800.424.5555. Approved for Construction Date FINAL INSPECTION Date Approved as Constructed i PUBLIC WORKS DEPARTMENT Over Cedar Street Everett, WA 98201 Phone: 259-8815 //-//7-9(0 (?/fz- " ACKNOWLEDGEMENT OF CONDITIONS 1 a_' k_ W 1- z 0 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. Signs ure of Applicant at 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.