2218 73RD ST SE 2018-01-02 MF Import

FP L l Date 5-24-90 Application For PUBLIC WORKS PERMIT Print or Type Only ftu, Wwu Permn Bldg DePI. a 90/24695 PoIrk wort. rN Tolai Fee S Lau April Fee Paid Balance Due 6 Paul Walden 2218 — 73rd St Everett 98203 3551341-- Owner Mailing Address Cay ..iP Phone Owner At cant Malhcg Address C�t� Describe, Proposed Work 1A 1d r,!ztoraq- shad ---- Zip Project Address lit known) 2218 — 73rd St. 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 hrs. in advance • phone 259.881 0. 2. All work shall he performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Cell Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1.800.424.5555. Co- (O-- 98 Approved for Construction Date FINAL INSPECTION Dale Approved as Constructed W PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett, WA 882018201 Phone: 259.6810 AC tNOWLEDGEMENT OF CONDITIONS W la — We � W 0 Z O The undersigned owner/applicant hereby agrees 10 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-ol•way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signalure 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.