329 60TH ST SE 2016-01-01 MF Import

I iDatetLS1 )v rueim worw.Permit. Aorlcation For slay peat . PUBLIC WORKS PERMIT Public Werke res !{ Tc W Fee Leu eppr FN pale S Print or Type Only Balance Due S Owner Mailing Address City Zip Phone Applicant Mailing Address City Zip Phone Describe Proposed Work Project Address(if known) Z c L i t W Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: • Properly Lines • Centerline of street • Outline cod dimensions of all existing and • Indicate North v lm proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1.All calls for Inspection shall be made 24 hrs.in advance•phone 259.8810. 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construcl�, r� Standards and Specifications. 3.Cell Location Underground Service 48 fire.before you dig.TOLL FRf E NUMBER 1.800.424.5555. z 1D ' 1L I ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less 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 cther right-of-way use hereto applied for and further agrees to remove same upon notice from the Approved for Construction Date City and to replace public property Dismayed thereby. FINAL INSPECTION Date Approved as Constructed Signature of Applicant Dale erett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Ceder Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett WA 98201 CANCELLED BY THE CITY UPON ANY:.TOPPAGE OF WORK ON THIS ev Phone:259.8810 PROJECT OVER 90 DAYS DURATION.