7029 YEW ST 2016-01-01 MF Import

Date�-�� ! Application For PUBLIC WORKS PERMIT Print or Type Only . B7-i 3i Penbc wo�ks Pmmn • BIdB Depl. • r�er� wo�ks Fre $ Tole� Foe Loss AOG�� Fea PniO $ Baiance Due $ %D OO Describe Proposed Work �� " -� J �� Prolact Address (If known) 7p�9 Attech four (4) copies of plans lor proposed work - Draw to scale and note lhe lollowing as applicable: • Property Lines .• Centerline ot street � Oulline and dimensions of all exisling and • Indicate North proposed structures on lhe lot • Show any proposed grading cha�ges • Existing and proposed utilities • Show measuremenls PERMIT CONDITIONS 1. All calls for inspection shell be made 24 hra in advance • phone 259•881 5. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construclion Standards and Specflications. 3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800•424-5555. �, P�L�cPv�-�P.�Po,.�S�gLC- ro2 KEf��rJC-, �ec�rc�C'-+b-1, � wr��. S, c u�'� 5�oc-�.�.«. r�c-w < UN1��«,J , �G� j�SJL.�� tv� R'CsP�C�tiIGj �C-2 PUP�L�1C- 1�10R-KS I^�SPC-�7L'SZ L�� i �L— ��Q.J �fLG-S i'C�� l��lr7Qst_ �M I�i S. Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Sireet Everetl. WA 98201 Phone: 259�8815 ACKNOWLEDGEMENT OF CONDITIONS W H � � � O � � O a The undersigned owner/applicant hereby agrees �o hold and save harm- less lhe City of Everefl �rom any and all claims lor damages, cosis, expenses, or causes of ac�ion that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied lor and further agrees to remove same upon notice trom the CitY and to replace public property damaged thereby. WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPIETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE Of WORK ON THIS PROJFCI' OVER 90 D.�YS DURATION.