2029 73RD ST SE 2018-01-02 MF Import

Date 1-17-95 Application For PUBLIC WORKS Print or Type Only PERMIT JkiG ,�� Pubhc Works Permo s el(1a Dept a 46743 Pubhc Works Fee Total Fee i Less Appt Fee Pud !< Balance Me 5 Mark 6 Alicia Dearmin 2029 73rd St SE Everett 98203 347-8385 Owner Mailing Address City Zip Phone Town 6 Country 16521 Hwy 99 Lynnwood 98036 743-1555 Applicant Mailing Address City Zip Phone Describe Proposed Work detached Project Address fit known) Attach lour (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 • Existing and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. All cells for inspection shell be made 24 hrs. In advance • phone 259.8810. 2. All work shall be performed in accordance with this permit and current City or Everett Design and Construction Standards and Specifications. 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. PU13LIC WORKS PEPMIT NOT R UIREIT AY IRATE Approved for Construction Date FINAL INSPECTION Approved as Constructed ACKNOWLEDGEMENT OF CONDITIONS W H O n z O O 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 applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. of Applicant Dale PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett. WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY Phone: 269.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.