2205 73RD ST SE 2018-01-02 MF Import

C3 '_' ,aft AMW _J iZ Date�Z"�� Apph'; dir, I nr PUBLIC WORKS PERMIT Print or Type Only TO POSTING_ Zip oeblu: Works Permda "�'y740O elan peel e Public work, rot s Toltl ftt Ltte APPI rtt Peed s—Q—�ft•� 9alenOeut S�O V� Applicant MPding Address City Zip Phone rr Describe Proposed Work _t, i)SEt�Z-- Project Address (if known) -77c?,SVt S.— Attach P ur (4) copies O1 plane for proposed work - Draw to scale and note the following as applicable • Properly Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot a Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 firs. In advance - phone 259.8815. 2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specilicallons. 3. Call Location Underground Service 48 hrs. before you dig TOLL FREE NUMBER 1.800.424.5555. Lo 4.,01 - <Fe6;c 4!5- !a7 f o e f[( 1v1x,1e41T LGN/SUL3^iit�G Llf�.QiCS TrrJ.li�Ft : n.c- , We PUBLIC WORKS DEPARTMENT Ever Ceder Street Everett, WA 98201 Phone: 259-8815 THE pe"yl.G i c'r' v ey,✓ELLS ACKNOWLEDGEMENT OF CONDITIONS UJ 0 Im O J Z O Y/ Q a The undersigned owner/applicant hereby agrees to ho:d 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 re ce publl rop rt tlamaged Thereby. Signature 61 Applicarli Date WORK AUTHORIZED BY THIS PERMIT MUST/BE S4FITED 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.