513 60TH ST SE 2016-01-01 MF Import

Public Work'Per n D0te adv pool • Application For NbToal.cPUBLIC WORKS PERMIT l FeeFea Lase Apel Fee Paid li Balsnce Due 8 Print or Type Only Melling Address City Zip Phone (Owner Applicant Melling Address City Zip Rhona Describe Proposed Work '1 W Proloct Address fit known) Attach four(4)copies of plans for proposed work-Draw to scale and note the following as applicable: 0 Property Lines • Centerknr of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements M DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All calls for inspection shall be made 24 fire. in advance- phone 259-8815. 2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Cell Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1.800.424-5555. 'i' OL A a ACKNOWLEDGEMENT OF CONDITIONS The undersigned own../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 other right-of-way use hereto applied for and further agrees to remove same upon notice from the Approved for Construction Dete City and to replace public property damaged thereby. FINAL INSPECTION Dale Data Signature of Applicant Approved as Constructed RMIT MUST BE STARTED everett IN PUBLIC WORKS DEPARTMENT 180RDAYS TOF DATE PERMIT ISHORIZED BY THIS ISSUEDAND HEREAFTER ISTO 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS S Phone: 259.8815 PROJECT OVER 90 DAYS DURATION.