3012 19TH ST 2016-01-01 MF Import

� � TYPE OR PRINT ONLY Application For PUBLIC WOR�CS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Strect Everetl, WA 98201 2�10 Q� TO POS'tING Date 2-5-98 Public Works Pe;mit # �`�/O33 euilding Permit M 57827 Public Work� Fee $ 7/0 Myrtle Anderson 3012 19th St Everett 98201 352�4702 Owner Mailing Address Ci�y Zip Phone Fry Const Perry Fry 36� 668 2570 Applicant Mailing Address City Describe Proposed Work new detached �ROJECT ADDRESS (if knowr.) 19th St Attach four (4) copies of plans for proposed work - Draw to scale and note the following it applicable: Zip Phone •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. Alf calls for mspection shait be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Lu�ation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. 0�-1�'-Sn 1'�:4U� ii �, � re; � EUTLU 20.�U SFCHG 4.�0 D'n'TUc 20.U0 TOT� iO4.5C A O1i53'-8 � i�.i�;Ei� iU'v.50 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save hartnless the City of Everett from any and all claims for damages, costs, eapenses, or causes of action that may arise because of installation arid maintenance of theimprov entorotherright-oi-wayuseheretoappliedforandfurtheragrees to remove�s ime upon noticy�from the City and to replace public propeAy of WORK AUiHORIZED BY THIS PERMIT MUST BE STARTED WITHIN t80 DAYS OF DATE PERMR IS ISSU[D AND THEREAFTER IS TO Be DILIGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.