5603 SOUND AVE 2016-01-01 MF Import

Date�'L�3 Application For PUBLIC WORKS PERMIT Print or Type Only � Appiicanl Mailing Address Describe Proposed Work , �-^� � ( _ ' ` Pro•:..t Address!if known) IPubi¢ vm�w� narin.i . 1��.J� ��J /�— _ man oont . _ �lL-f—•��+"'—„' v�i�i��woa�F�•o — io1N Fea 5 lcesA001 FaePa�� S �" /� D� Oeianca Uun S _c. �� _. �6-�- - 7 Zip Phone Atta�h four (4) topius ol plans for proposed work - Draw lo scale and nola the lollowing as applicable: • Property lines • Outline and dimensions of alt existing and proposed structures on lhe lo: • Existing and proposed utili�ies • Centerline ot street • Intlicate North • Show any proposed grading changes • Shaw measurements PeRM1T CONDITIONS 1. All ceils fOr inspection Shall be made 24 hrs in advance - phone 259•8815. 2. All work shall be perlormed in accordance with ihis permit and current City ot Everett Design antl Co�struction StanderAs and Specifications 3. Call Lxation Underground Service 48 hrs. belore �ou dig. TOLL FREE NUMBER 1•800•424•5555. �vemlt PUBLIC WORKS DFFARTMENT 3200 Cedar Street � Fverett. WA 98201 Phonc:259�8815 ACKNOWLEI�� rAENT OF CONDITIONS W H � � The undersi�ned owner/ap;,��can. hcreby agrees to hold and save harm- less U�e City ol Everett 6em any and all claims lor damages, cosis, expenses, or causes of ac,tion 1 may arise because of installation and m�enance of the impro ent or other righ�•of•way use hereto appl ed r and lur�her ngre remove same upon notice irom the City nd t repl puhlic p rty damaged �hereby. ��G� � ��/� 01 Date WORK AUTHORIZED AY THIS PERMIT MUST BE/STARTED WITHIN 180 DAYS OF DATE FERMIT IS ISSI�EfJ AND 7'HEREAFTER IS TO BE DILIGENTLY PUh�UED TO COMPI.'cTION. THIS PERMIT MAY BE CANCELLED BY TH[ CITY UPOM ANY STOPPAGE OF WORK ON THIS PROJECT OVEF 90 DAYS DURATICJN.