3313 56TH ST SW 2016-01-01 MF Import

� � Date�� Applicalion For PUBLIC WORKS PERIIAIT Print or Type Only i� �3�3 '� � � Describe Proposed Work �GYi-/5Tf'>- Ga��'02_� Projecl nddress (if knnwn) �� 8�_?�3 Public Wc�ksPermi�_./.�,�r�- , ,,.,., eiee. oeoi. , — � =.rtt� � _ Public Workn Fea S TOIn1 Fea — Le:s r�oo� Fea Paitl S �� Cp — Balance Due S �=----- Phone 3S„3��,.�� LIP rnvnc Attach four (4) copies of plans for proposed work • Draw to scale and note the followin9 as applicable: • Property� Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utililies • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDIT�ONS 1. All c:�lls for inspaction shall be made 24 hrs. in advance - phone 259•881 $. 2. All work sy'�II be pertormed in accordance wilh this permit and current City of Everett Design and Construction Stande:ds and Specifications. 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. r -'� C��Z��"��"� f��Pb-Pl-rr' f Approved for Constrdction � 3t�� �—� � . — /�r/��.�/cJ'/.1 -�L !' FlNAL INSPECTIC'J Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phone: 259•P815 ACKNUV/LEDGEMENT OF CONDITIONS W H � � � O The undr.rsigned owner/applicant hereby agrees to hold and save harm- less thc Ciry of Everett irom any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance af the improvement or other right-of•way use hereto applied for and turther agre 5 to remove same upon notir.e from the City and to replace public op ty damaged thereby. Si nature of Applic nt �P 9 WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIP! 180 DAYS OF DATE PERMIT IS ISSUED AND THERFAFTER IS TO F3E DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.