130 69TH ST SE 2018-01-02 MF Import

.A 10-4-93 TO POSTING_ �i�.�(��t cuWie worts P•eP1142242 Sn ' Date Application For eiev o•Pt • _ PUBLIC WORKS PERMIT Puelsi:Tob F•eFaa , less APPI. Fee Paid i .lsisncs Due Print or Type Only Greg Owens 6901 Lower Ridge Rd Everett WA 98203 347-6436/266-6008 _ Owner Mailing Addies: City Zip Phone Owner Applic.ml Address City Zip Phone Describe Proposed Work _new duplex lot 4 short plat 43-91 Project Address it known) Attach four (4) copies of plans for proposed work - D,aw to scale and note the following as applicable: • Properly Lines • Centerline of street • Outline and dimensions of all existing aid • Indicate North proposed structures on the lot • Show any proposed gra Ling changes • Existin5 and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls toi inspection shall be made 24 lira. In advance - phone 259.8810. 2. All work shall be performed in accordance with this permit and currcnt City of Everett Design and Construction Standards aid Specifications. 3. Cell Localior Underground Service 49 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. Approved for Construction eta C � FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT 4 3200 Ceder Street Everett. WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS UJ ca 0 n z 0 Cl) 0 a 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 end maintenanct: of the Improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signatur 1 plicant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHII 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS T BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON T PROJECT OVER 90 DAYS DURATION.