1420 80TH ST SW NORWESTCO 2018-01-01 MF Import

Date Apirricallon Fo, PUBLIC WORKS PERMIT Saft.D. Print or Type Only Alk /)Q E30V- C4 zeazzmv,�d Wo;L�' U MAIN09 Address City Pho,. tr~.al A- &;— —5. djf�A -Ae�c- 4—Kzor� gro-s--r— Applicant mallingril 8 qtlov Zip Prim,. Describe Plopoluld Work --=� 44,iz frqa6 -gviia- U.1 Project Add,ess fit known) Falls, Attach four 141 Copies CA plans lot proposed work-Draw to scale and note the following as applicable •Property Lines 0 Conlefline of street •Outline and dimenslens of all existing and 0 Indicate North proposed structures on the 101 0 Show any proposea grading changes •Existing and proposed utilities 0 Show measurement$ PERMIT CONDITIONS DO NOT WRITE BELOW THIS LINE 0 I.All Calls for Irrapection Shah be made 24"m in advance-phone 259-8810. 2.All wark Shah be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications 3 Call Location Underground Set vice 48 his,before you dog TOLL FREE IN UMBER I-BOG-424-5555. z 0 less- Cn 0 (L Rese"' ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlappitcant hereby agrees to hold and Save hsmr� I less the City of Everett from Inv and all claims fat damages. costs. expenses. or causes of action that may arise because of installation and maintenance of the improvement of other right-cf-way,use hereto applied lot and further agrees to remove Same upon notice from the Approved for Co,struclion Oatv City and to replAt;e public thapany damaged thereby FINAL INSPECTION Dale Approved as Constructed Signature of Applicant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN ........it 1`11SLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 32DO Coda,Street HE DILIGENTLY PURSUED TO COMPLETION THIS PERMIT MAY BE Everett WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS rel Maine.259 8810 PROJECT OVER 90 DAYS DURATION