1318 37TH ST 2018-01-02 MF Import

Application For OL PUBLIC WORKS PERMIT Date 7 ZZ ) g PUBLIC WORKS DEPARTMENT Public Works Permit p 3200 Cedar Street Everett, WA 98201 259-8810 q SEP : 0 200� Building Permit If TYPE OR PRINT ONLY TO /APOSTING Public Works Fee $ / Owner mailingAddress City Zip Phone S'4 Describe Proposed Work PROJECT ADDRESS (if known) /3/8 - 3 7e Attach four (4) copies of plans for proposed work - Drew to scale and note the following if applicable: •Prcperty Lines 'Outline and dimensions at all existing and proposed structures on the lot "Existing and proposed utilities Z. "Centerline of street "Indicate North "Show any proposed grading changes "Show measurements -- PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this permit and current City]bf: Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-8DO-424-5555. 4pP.v � _5c74 ! _70r^- � L drt-1wS PLAN CI( 37ci.60 TOTAL 24839.60 CHE A OM7393 LU i A ca Z 0 CO am ACKNOWLEDGEMENT OF CONDITIONS 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 further agrees to remove same upon notice from the City and to replace public property damaged there !'ram. z✓ % 30 -y,� Si ature pplicant Date WORK AUTHORIZED BY THIS F ERMIT MUST BE STARTED WITHIN 180 DAYS 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 OVER 90 DAYS DURATION.