1318 37TH ST 2018-01-02 MF Import

Application For , PUBLIC WORKS PERMIT`' Date ------'!�i PUBLIC WORKS DEPARTMENT -'e 3200 Street W Public Works Permit ff CJ Cedar Everett, WA 98201 259-8810 = Building Permit 4 TO POSTING SEP 3 0 2p02 r� TYPE OR PRINT ONLY �� r_o,o00o LO Public Works Fee $ 36 / 00000 0co Z/ ,CC h lu0' ",�c! �rtc ao fL� r ICJ` /�.i(�+iTl - i"I/'%r�cf� � �Qk '/2,f 3V&f Owner Mailing Address J1 f x--eo ity Zip Phone /Ps l /Pam /3>/ / ^ / L a(/� &; t�C!i�%.w r(�f/lY Q/Lr27/ Applicant Mailing Address �- Ar Zip Phone oa000 Describe Proposed Work e�a. fiss to ✓! < o Q I/h tt� O PROJECT ADDRESS (if known) J c— Attach four (4) copies of plans for proposed work -I Draw to scale and note the following if applicable: •Property Unes 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities /�y V •Centerline of street •Indicate North 'Show any proposed grading changes •Show measurements EMW 10 PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. O 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. CallLocationUnderground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. 4f-�-r rc�d r/cw` v+ 7° � OA an ACKNOWLEDGEMENT OF OatmITIONS The undersigned owner/applicant hereby agrees to hold and save harmless 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 h:rther agrees to remove same upon notice from the City and to replace public property damaged thereby. Signa plicant Date ' RK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO '1`10i4. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.