1610 72ND ST SE 2018-01-02 MF Import

Date-5j($/ (1 i)IIIC Elio rt For PUBLIC WORKS PERMIT Print or Type Only Punic Worh, Pnrmu . suca nePr .36680 rbEllC Won lee f _.__--- Total Poe Les' Mpt Pee Paul s - BeunceDue s Phone owner Describe Proposed Work Cdnatrurt nera .+ Project Address lit known) owing as apli Attach lout (4) copies of plans for Proposed work • Draw to scale and note I Cq°i,e line of strpeelcable: • Property Lines • Indicate North • outline and dimensions of all existing and • Show any proposed grading changes proposed structures on the lot • Show measurements • Existing and proposed utilities PERMIT CONDITIONS J. All calls for Inspection shall be made 24 hra. In advance • phone 259.8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 F rs. before you dig. TOLL FREE NUMBER 1.800-424.555 . Approved for Construction Dete FINAL INSPECTION Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259-8810 W N ca 0 sal 0 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold anJ save harm, leas the City of Everett from any and all claims for damage& costs expenses. or causes of action that may arise because of Installation and maintenance of the improvement or other righl•ol-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby, Date Signature of Applicant WORK AUT14ORIZED BY THIS MUST BE STARTED 180 DAYS OF DATE PERMIT ISESSUED AND THEREAFTER IS TIO 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.