7020 YEW ST 2016-01-01 MF Import

oate � v � � PUBLIG Print or Type Onry Application For � WOR1� PF�� O . p � . ` O rJ � � p �N �t '� IPubi�c Works Permn • 89- zs � e�eo.o�o�.. _�'9�/72�p�s IT I PuCI¢WorHaFee — to�ei Fee s lessApD� �eePeitl S % Balance Due S `—Q� Describe Proposed Work ProiectFddresslilknown) 7�2� � ✓Elf� S�- � • Attech lour (4) copies ol plens fo� proposed work • Oraw to scale antl nota the following as applicabie: .-- • PropeAy Linea • Centedine of slreet . ,�-"� • Outline and dimenslons of all existinq and • Indicate North proposed struttures on the lot • Show any proposed grading changes ," • Existin9 and proposed uNlities • Show measurements � PERMITCONDITIONS ,�� t. All cells far Inepaction shell be made 24 hrs. in advance • phone 259-8810. 2. All work shell 6e padormed in accordxnre with thia permit and wrrent City of Everetl Deaipn end Construction Standuda and SpecifMatlon�. 3. Call Locatlon Underqround Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. • - - �., ,.�� _ - ..;-- - i_ ; i �/�{'.'-�''�-/ ;",:i-.�� . = , ' /:� A9 Approved lor ComstNCtiou • � ate FINAL INSPECTION Date Approved as Constructed everetl I PUBIIC WORKS DEPARTMENT � � 3200 Cedar Street EvereN. WA 9B201 Phone: 259-88t0 W � � � O ,�.8 � � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigneA owner/applicant hereby agrees to hold and save herm- less the City of Everett from any and ell cleims lor damages, eosts, ezpenses, or causes of action that may arise�because of instellation and maintenance of the improvement or uther righl•of-way use herato applied }or and furlher agree5 to remove 50me Upon notice from the City end tc �eplace public property damagetl thereby. �.�--�-� 1 - Sign re oi Appl� a Dal WO K AUTHORI D BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS 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 OVEF 90 DAYS DURATION.