1724 W MARINE VIEW DR VILLAGE PEDDLER 2016-01-01 MF Import

Date_,.1 LO � qpplication For , � PUBLIC WORKS PERMIT Print or Type Only Mailing Address rmamng naaress Describe Proposed Work I`r"1_{/�1 �� 1 1/ 17� Prolect Address (it known) Puol¢ wo��,s rmmy� � C' 6�Cp. Deot � _ ' _ Publrt Worws Fce Tolal Fee $ �e55 FpP� Fc^ Pa�O � Ba�ance �uo S Phene Gtly Llp YnOne Attach four (4) copies ol plans tor nrop�sed work - Draw to ccale and note the lollowing as applicable: • Property Lines • Centerline ol sireet • Outline and dimensions uf all existing and • Indicate North proposed siructures onthelot • Show any proposed grading changes • Existing and proposed utilities • Show measuremen�s PERMIT CONDITIONS 1. All calls f�r inspection shall be made 24 hrs. i� advance • phone 259-8810. 2. All work shall be performe�l in accordance with this permit an�f current City of Everett Design and Construction Standards and Specitications. 3. Call Loc2tion Underground Service 48 hrs. bFfore you dig. TCLI FREE NUMBER 1•800•424-5555. Approved Inr Conshuction �s/��n �� ACKNOWLEDGEMENT OF CONDITIONS W H � � O �" � 0 a Th� undersigned ownei/appllcant hereUy ac�rees to hold and save harm• less the City ol Everett irom any and all claims for damages, costs, expenses. or causes ol action �hal may arise bewuse of installation and maintenance of ihe improvement or other right-ol�way use hereto applied for and lurther agrees to remove same upon notice Irom the Date City and to replace public property damaged Ihereby. FINAL INS�ECTION D�le Approved as Consiruded everett PURLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phonc.259�8810 Signature of Applicant ��e WORK AUTIIORIZC-D BY THIS PER!vtlT MUST BE STARTED WITHIN 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COAIPLETION. THIS PERMIT A1AY BE CANCELLED BY THE CITY UPON �1hY STOPPAGE OF WORK ON THIS PFOJECT OVER 90 DAVS DURATION.