3108 56TH ST SW 2016-01-01 MF Import

Date�� ApplicaUon Fo� PUBLIC WORK� P�RMIT Print or Type Only Deacribe Proposed Work Project Address (if known� htailing SF/� .3/n�',� - Pubtic WoA� Per • �S 3� BIEp. U�OL � �� PUEIIc Work� FN b Tol�l Fae Lees AOV� fse a�ld � Bal�nce0ua f GG�%�Q ' 9Y,.;M3 Zip Zip Attach four (4) copies of plans for propos4d worF: - Drew to sc��te and note >he following as applicable: � Property Lines • Outline and din,ensions ot all existirg and proposed structures on the lot � • Existing and proposed utilities PERMIT CONDITIONS • C^nterline of street • Intlicate North • Snow any pruposed grading changes • Shew measurements ��e 9�` 3��- �.cs8 Phone Phone �. All calls for inspection shall be made 24 hrs in advance - phone 259-8815. 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 4B hrs. before you dig. TOLL FHEE NUMBER 1-8Q0-Q2Q-5555. �4fL/'�'�LrD��sv Z/��(5"S Approved for Construr,tion • a�e • -,� + J '.�'�V � INSPECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMCNT � 3200 Codar Street Evere:t. WA 9820? Phone: 259-8815 ACKNOWLEDGEMEN'f OF CONDITIONS W � w � Th2 undersigned owner/applicant hereby agrees to hold and save harm- Iess tne City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of instaflation and maintenance of the improvement or other right-of•way use he�eto applied (or and further agrees to remove same upon notice from the City an to rPplace public propertY damaged theieby. �o�_� 5�j ��S ' nature o Applicant —� � WORK AU HORIZED BY THIS PERMIT MUST BE STARTED WITFiIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PUR�UED TO COMPLETION. THIS PERMIT MAY BE CANCELLED �Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.