2302 74TH ST SE 2018-01-02 MF Import

Date Application Fol PUBLIC WORKS PERMIT Print or Type Only M IPublic ii PerMll • —0- % Bldg Debt • / i Public Worb Fee Total Fee Lest APPI Fee Paid $ — Balance Out 5 l __ j— r� ter of ��1S /� �J/ Deacrlb Proposed Work /7o2'r Project Address (it known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Cenlerline 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 shell be made 24 hrs. In advance - phone 259.8810, 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 him before you dig. TOLL FREE NUMBER 1.800-424.5555. Approved,W,C ruction Date FINAL INSPECTION Date Approved as Constructed W PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett, WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS z O F.. 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 ap Ilad for and further agrees to remove same upon notice from the City a o apiece 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.