21 73RD ST SW 2018-01-02 MF Import

2 01-rr PUBLIC WORKS PERMIT Date '021/98 tt[[ PUBLIC WORKS DEPARTMENT Public WbrksIV itN _1S.J� t 3200 Cedar Street LW:I Everett, WA 98201 259-8810 '1' 9 � � Building PertEQ A 57690 TYPE OR PRINT ONLY TO POSTING lllIWF 00- 1-51888R8a S' °Ss Fe11) e .i{� �n d04 C, O U SK7LINE HOMES 107 224TH ST SE BOTHELL rilk)P1-0 4251"4899�pQf�Q? � Owner Mailing Address city ZV IV ¢ Phone CONTACT: PAUI. OR STACY -6 cjQ2 T sp1k _ M � ,.-, ;a!Applicant Melling Address ,0�?� F p�� o s Describe Proposed Work NEW HOUSE — BASIC 1257 3S ti W PROJECT ADDRESS (it known) 21 73RD ST SW LOT 2 SHORT PLAT 15-95 _ Attach four (4) copies of plara for proposed work - Draw to scale and note the following if applicable: "Property Lines 0001ine and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O 'Centerline of s,mot 'Indicate North -Show any proposed grading changes •Shaw measurements 7 DO NOT WRITE BELOW THIS LINE 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 O Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. �/�� ( ) O a 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 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. i2�±r (qG Si alure of Applicant ---1 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.