333 60TH ST SE 2016-01-01 MF Import

Datec w°u�won:rn��gg'' 7 .n, ea9 DW.r2 PUBLIC WORKS PERR4IT went w°.s.r.. ,pttl r.s L..s.ppl r..P.M S G�— Print or Type Only drbncn Dv. 18MW0 In3'1 I Ate 10"1r, 6L ,, lL1JH b'L 585 400 `^ Oder ' Mailing Address y Zlp Phone 17[MP Applicant EF Address f City d� two �v Phone Describe Proposed Work I'�1 t c 7F F LOT � , Jr two "' Q41F/ Project Address fit known` — 2�h Sf Attach four(4)copies of plans for proposed work•Draw to scale and note the following as applicable: ssa� •Property Lines •Centerline of street /A •Outline and dimensions of all existing 2nd • Indicate North M+ proposed structures on the lot •Show any proposed grading changes •Ex'Jing and proposed utllille2 •Show measurements DO NOT WRITE BELOW THIS LINE O !1 PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 his.In advance•phone 259.8815. s ass ) 2. All work shall be performed In accordance with this permit and current City of Everett Design ann uonshuct:on Standards and Specifications. 3. Cs:l Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. Z O O a !}� ACKNOWLEDGEMENT OF CONDITIONS ttl'1` The undersigned owner/applicant hereby agrees to hold and save harm. less the City of Everett from any and all claims for damages. coals. 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 Approved for Con ion /. Date City a d to replace pub r party damaged thereby. FINAL INSPECTION Date Approved all Constructed ig at of pp is Date everett PUBLIC WORKS DEPARTMENT WO AU ORIZED BY THI ERMIT MUST BE STARTED WITHIN 3200 Cedar Street BE OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY IS Phone:259-8a 15 CANCELLED BV THE DCITYAYS UPON ANY STOPPAGE OF WORN ON THIS PROJECT OVER 90 DAYS DURATION.