112 74TH ST SE 2018-01-02 MF Import

Date—L4LN 7 ADp!,calmrt I-ol PUBLIC WORKS PERMIT Print or Type Only -7UM Mailing Address PUUI¢ Wmlo Permd F Bldg Deal. e Y, holiC wont. Fee Total Fee Lau ePPI Fee Paid i Balance Due i '_sue_ Phone Applicant— Mellury Address City Zip Phone Describe Proposed Work 'aa Project Address (if known) Attach four 14) 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 to! • Show eny proposed grading changes • Existing and proposed utilities • Show measurements L PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hra In advance -phone 259.8815. 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 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. k pPe�.1— 5 1 ' D Pw %es IP� GH�e/ Approved for Construction Date FINAL INSPECTION Approved as Constructed W PUBLIC WORKS DEF fiTfAENT Ever Ceder Street201 Everett, WA 98201 Phone: 259.8815 M U) W 0 Z O l/ rr / O am ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm. less the City of Everett from any and all claims lot 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 lot and further agrees to remove same upon notice from the City and to replace public property damaged thereby. 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 B\ THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.