2310 73RD ST SE 2018-01-02 MF Import

Date �J! �Jp Application For PUBLIC WORKS PERMIT Print or Type Only /3d / City Public Woga Permd eidp Dept Public Worea Fee = Totes Fee Less April Fee Paid S Bmnce Due $ 1� Applicant Melling Address City Zip Phone Project Address pl known) Attach four (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 Inspe. tion shall be made 24 hrs 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. Cell Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1.800.424.5555. y , `m LTkr0 ter— pc-t., k t-T-s�- s RaRou fi, l-j i a r-_3 . 5 , C 1�� o� LO Psecc3 Saoui-0 1Sc- cA►zC (= u L— Approved Approved as Constructed " V W PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8815 L.C7-5 ;o souTH r A sT ACKNOWLEDGEMENT OF CONDITIONS W H `w/mow' 0 NO The undersigned owner/applicant hereby agrees to hold and save harm- less the City �f 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 toreplace public property damaged thereby. s 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,