2402 WALNUT ST 2018-01-02 MF Import

Date�a Pum¢wonsPermii• Application For area Dear • —�� PUBLIC WORKS PERMIT Pueec worxs Fee pralrks $ Less spot Fee Paid $ 9a1ance Due S Print or Type Only RIB �„ ( ayoa WhIjill EVPI'Pt,- PJZU 35a-09&2 OTr Mailing Address City ZIP Phone Applicant - -- Mailing Address City Zip GVCP one Describe Proposed Work f l y .A i f plot/ n[)Z1 IV2 10, X J r �� 7 r— Project Address jif 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 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 24 hrs. in advance • phone 259.8810. 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 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555. for Construction FINAL INSPECTION Approved as Constructed everett PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 98201 Phone. 259-8810 6 ACKNOWLEDGEMENT OF CONDITIONS z O 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 Date City and to replace public property damaged thereby. Date of Appbcant 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.