319 73RD ST SW 2018-01-02 MF Import

Date 7/19/93 Application for PUBLIC WORKS PERMIT Print or Type Only Public Work. Permit eldv a." . C41336 Publm Work, Poe Total Fee >< Less APPI. Fee Paid $ Balance Due 3 Phone Applicant Mailing Address City Zip Phone Describe Proposed Work Residential addition Project Address fit 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 Inspection shall be made 24 hint. in advance - phone 259.8810. 2. All work shall be Performed in accordance with this permit and current Cily 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 "UBLIC WORKS PERMIT NOT R OUIRED DYE DATE Approved for Construction FINAL INSPECTION Approved as Constructed PUBLIC WORKS DEPARTMENT VOIL 3200 Ceder Street Everett, WA 98201 Phone: 259-8810 Dato ACKNOWLEDGEMENT OF CONDITIONS N Im O n The undersigned owner; applicant hereby agrees to 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-of-way use hereto applied for and further Agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Dale 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.