1324 74TH ST SE 2018-01-02 MF Import

Datec!(I 10911 Application For PUBLIC WORKS PERMIT Print or Type Only Mailing Describe Proposed Work Project Address (if known) ad 4=7 �ik a1f Nbbe Works Perm.. e Bldg Dept a Fbbc Woo, Fell Total Fee S less •DPI Fee Pmd a Bainnce Due S 35� _ Zip Phone Attach lour (4) copies of plans for proposed work - Draw to stele and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all a listing and • Indicate North proposed structures on the It.. • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All cells for inspection shell be made 24 hrs. in advance - phone 259.881 O. 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 hra. before you dig TOLL FREE NUMBER 1.800.424-5555. Approved for Construction -VDU lu-1 L WOrUG4 leaOM I IWT outtze�o eta-e—`— Date FINAL INSPECTION Date Approved as Constructed i PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS W w ca 0 sal The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costa 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 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.