1525 75TH ST SW TCI 2018-01-02 MF Import

AaplrtFor 4:77 PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Sbeet Everett, WA 98201 (425) 257-8810 Date 4-14—i9 Public Works Permit N Building Permit R 62166__ TYPE OR PRINT ONLY pn T M } a 1 ?�01 Da J { ll DTI N G _ _ Publ:^ Works Fee $ _,3S Everett Technical Park 101 Elliott `ve W I133J Seattle 98119 206 281-8700 Owner Mailing Address G Zip Phone TCI of Washington Contact: Sabey Corp Haynes Lund 206 281-8700 ApplicantMailing Address City Zip F'iono Describe Proposed Work site improvements _ _ 1 U PROJECT ADDIIESS (if known) _ 1525 75th St SW Attach four (4) copies plans for proposed work - Draw to scale and note the following it applicable O • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities Milli • Centedmo of street • Indicate North • Show any proposed grading changes • Show measurements DO NOT WRITE BELOW THIS LINE z PERMIT CONDITIONS: O 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. FJ work shall be performed in accordance with this permit and curtail' City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-600-424.5555. (n �. Crvii sl'Ve Gtl.-I- - 6a Be n6r)CpZr O �L9n '?Apt -O✓Fa on 5-11-99 (�el°l'l q#-C( 4ed) am ACKNOWLEDGEMENT OF CONDITIONS The unders,gned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages. costs, expenses, or Causes of action that may anso because of Installation and maintenance of the improvement or other right -of way use hereto applied for and further agrees to romove same upon notice from the City and to replace public property dam- aged thereby. signature of Applicainln e WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO 00"PLETION THIS PERMIT MAY 11E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.