2234 74TH ST SE 2018-01-02 MF Import

' DBte Public Works Perms a14, Application For Bldg Dept a Cal fo file re PUBLIC WORKS PERMIT P.14re IFeeFee t; --i Print or Type Only Applicant TO POSTING g'2i-98 IL�1� F�'Ark•I�eo :�wrdwai Wdress Clly Len appi Fee Paid S Balance Due S 2-0— %/a Mailing Address City Zip Phone Describe Proposed Work __2Jew _� v,\e -CT aM • 1 �� tLe �, Project Address (if known) WUJ Attach four (4) copies of plans for proposed work • Draw to scale and note the following as applicable: e, • Property Lines • Centerline of street 0 Outline and dimensions of all existing and • !ndicale North CD proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 his. In advance • phone 259.8810. 2. AIIWurk shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specification& 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. O O r pe . GT. 91 Approved as Constructed PUBLIC WORKS DEPARTMENT 4&W 3200 Ceder Street Everett WA 98201 Phone: 259-8810 Date O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and Lave harm• less the City of Everett from any and all claims for damages, cost& 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.