721 60TH ST SW 2016-01-01 MF Import

Date V Mc wanrPerron• — 297 nia:'cat�rn I r � abs o.Pr . -- PUBLIC WORKS PERMIT Rieiinial c Works Fee Fee S - Len APPI Fee Paid !< er0� Print or Type Only Balance rose $ -- Owner Meiling Address City Zip Phone Applicant Mailing Address City Zip Phone r i Ir Describe Proposed Work ". LU Project Address(if known) 72� Ai B r0� -tf Sw Attach four 14)copies of plans for proposed work• Draw to scale and note the following as applicable: • Property Lines • Centerline of street ♦^ • Outline and dimensions of all existing and • Indicate North V proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS 1.All cella for Invrecticn shall be made 24 hrs.in advance•phone 259.8810. 2.All work shell be performed In accordance with this permit and current City cf Everett Design and Construoion Standards and Specifications. 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800.424.5555. z I O Y/ O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and cava harm- less armless the City of Everett from any and all claims for damages, costs, j expenses, or causes of action that may arise because of Installation I! 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 Constr n ate City and to replace ublic property damaged thereby. FINAL INS ECTION Date ` Approved as Constructed Ig alure of Ap Iicant Date everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street BE DAYS TL 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 STOPPAGE OF WORK ON THIS Phone:259.8810 PROJECT OVER 90 DAYS DURATION.