1731 70TH PL SE 2018-01-02 MF Import

Date_ � L Application For PUBLIC WORKS PERMIT Print or Type Only Zip Public Worke Perm" • 7' apt, a Public Worke Fee B / Tolel iee Let, APPr Fee Paid $� eerence Oee 8 I-JAYI ZE _ Applicant Mailing Address City Zip Phone Describe Proposed Work — 7'0rC' s-i _ v c LoT /C Project Address (if known) Attach four (4) copies of plans for proposed work • Draw to stele and note the following as applicable: • Property Linea • Centerlin•i of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calla for Inspection shell be made 24 his. in advance • phone 259.881 5. 2. All Nork shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications 3. Cell Location Underground Service 48 fire. before you dig. TOLL FREE NUMBER 1.800-424.5555. T.,s/%r-�iw/f f'OUc-Terms' L�O[d w— s/'odrs To O, W1A1V&C sy -7 �iul-� LINS'�'0 fF�✓, �%i�j�C� �if'n/7h �vsT .PEPllili� �F Approved for Constru tion Date p/ l FINAL INSPECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett. WA 98201 Phone: 25991ff$EMOO ACKNOWLEDGEMENT OF CONDITIONS Im 0 n z 0 V♦ 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 and maintenance of the Improvement or other right-of-way use hereto epplled for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of pplicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.