1510 73RD ST SE 2018-01-02 MF Import

Application For PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 (425) 257.8910 TYPE OR PRINT ONLY TO POSTING ` 2 12ono Date _ 8/13199 Public Works Permit I / Q z4o Building Permit I _C9908-011 Public Works Fee $ GELLERSON CONSTRUCTION 1408-48TH ST SW EVERETT 98203 252-6704 Owner Mailing Address City Zip Phone Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOUSE _ W PROJECT ADDRESS (if known) - m1— 73RD--5T-5E _ W Attach four (4) copies plans for proposed work - Draw to scale and note the following it applicable: O • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements DO NOT WRITE BELOW THIS LINE Z PERMIT CONDITIONS: O 1. All calls for inspection shall be made 24 hours Itr advance - phone (425) 257-8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and ■ Construction Standards and Specifications. r 3. Call Location Underground Service 48 firs. before you dig. TOLL FREE NUMBER 1-B00-424-5555. ♦/� 4r k tJ1hM;LLCIi a 1, 0 FINAL INSPECTION Approved as Constructed ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownertapplicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, coats, 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 romo me cpon otice 1 the City and to replace public property dam- ag reby igna u 80 'can ale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN lee DAYS OF DATE PERMIT IS ISSUED AND TI-EREAFTER IS M, BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WJRK ON THIS PRO ECTOVER 90 DA1:T DURATION.