515 72ND ST SE 2018-01-02 MF Import

8/30/93 Date_ APPlicalion For PUBLIC WORKS PERMIT Print or Type Only Pubbc Works Permn • ta-r-r--� Bug Dept. e _ %rn- Public Worba Fee Total Fee Lou Apo[ Fee Pug a Balance Due $ Michael S Johnson 515 72nd St SE Everett WA 98203 353-6450 Owner Mailing Address City Lp Phone Owner Describe Proposed Work Project Address (if known) _ 515 72nd St SP Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and Proposed structures on the lot • Exisling and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 his. In advance. phone 259.881 O. 2. All work shell be performed In accordance with this permit and current City of Everett Design ,nd Construction Standards and Specifications. 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. PUBLIC WORKS PERMI'r NOT POUIRED BY B DATE %3 Approved for Construction Date FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett. WA 08201 Phone: 259.8810 z O n a ACKNOWLEDGEMENT OF CONDITIONa The undersigned owner/appllcant 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 name upon notice from the City and to replace public property damaged thereby. Signature of Applicant Dete WORK B0 DAYSOFDIPERMIT ATE PERMIT ISISSUED 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.