2314 74TH ST SE 2018-01-02 MF Import

TO POSTING'-"-" Date Application For PUBLIC WORKS PERMIT Print or Type anly Applicant Describe Proposed Work Mailing Address Project Address lit known) _—Z 3 1. Zr — T41 --T- ,C- PnUAa works Permit •T �/ oleo oePr + _qYl P.bnc Work. Fait Tatei re. S Less soot rise Pnd S Balance Due $�� Zip Phone Attach fow (4) copios of plans for proposed work - Draw to scale and note the lollowing 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 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. Call Location Underground Service 48 his, before you dig. TOLL FREE NUMBER 1-800.424.5555. �k1 Approved for Construction Dale FINAL INSPECTION Date Approved as Constructed everetl PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett, WA'38201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS no W 0 Im O O a 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 righPul-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property da aged thereby Signature of App scant 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.