1419 73RD ST SE 2018-01-02 MF Import

DateG Application Fir PUBLIC WORKS PERMIT Print or Type Only Pumn: Works Permn . / e&dy Dent . ��Ip Pue1K W.Ma Fee 4 Total Fee Less APO Fee Paid i Balance Due Eld,'„ C Atidlt-im Niq -72ed St eyerphL&It9- 91074 3 35 34W- Owner Melkng Address City Zip Phone nt Describe Proposed Work _ Protect Address (if known) Attach lour (4) 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 proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 hra in advance • phone 259.881 5. 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 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. pLwe_/G Approved for Construction FINAL INSPECTION Date Approved as Constructed evcrett PUBLIC WORKS DEPARTMENT Ever tt, WA 8201 Everett. WA 98201 Phone: 259.8815 ACKNOWLEDGEMENT OF CONDITIONS raters O ,,� A V♦ a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims lot damages. costs, expenses, or causes of action that may arise because of Installation and maintenance of the Improvement or other right•ol•way use hereto applied for and further agrees to remove some upon notice from the City and to replace public property damaged thereby. Signature of Applicant 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.