19 73RD ST SW 2018-01-02 MF Import

pohwbon For PUBLIC YrlOI;KS PERMIT r PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 25 -8810 Tn POSTING 2 a TYPE OR PRINT ONLY U SKYLINE HOMES 107 224TH ST Si Fi�l Owner Mailing Address OR STACY Mailing Address Describe Proposed Work PROJECT ADDRESS (if known) oamn.=rn NEW HOUSE - EASIC 1257 O v, 18ate 1/21/98 Xublic Works Permit 0 98/ozo W 6ullding Permit a 57689 7 Public Works Fee $ _ 411 Phone LOT 3 SHORT PLAT 15-95 Atta0 four (4( copies of plans for proposed work - Draw to scale and note the following If applicable: •P, orTrty Lines 'Outline and dimensions of all existing and pmposed structures on the lot 'Existing and proposed utilities "Centerline of street •Indicate North 'Show any proposed grading changes •Shaw measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ram. Uj H 0 z 0 C0 0 am ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of acticn that may anse 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. Si nature of Applicant Dale Ir 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.