1520 80TH ST SW 2018-01-02 MF Import

C:) C� Date-C?d r. 4 Apphconon For PUBLIC WORKS PERMIT Print or -ype Only Public Wd,.. Pergm�il�•— ��_ 111 Bldg DOPI Public W.M. Fee TWO Fe. L... All Fee Paid f{ BA... Due ApPIl- Melling Address�lf�Ivy1Cnhny�, uP r Describe Proposed Work L%-"'-""-r'�VIA ----------- Project Address (if known) Attach four (4) copies of plans for proposed work • Draw to scale and note the following 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 his. 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. J. Cell Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1.800-424.5555. Approved lot Consh UGtlen FINAL INSPECTION Approved as Constructed i PUBLIC WORKS DEPARTMENT 3200 Street Everett,tt, WA WA 98201 Phone: 259-8810 uaie Date EZM I -r Nor QN5(:)- O Cn O a ACKNOWLEDGEMENT OF CONDITIONS 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 Instsllahon and maintenance of the Improvement or other right-Of•way use hereto applied for and further agrees to remove some upon notice from the City and to replace public property damaged thereby. Signature of Applicant C de WORK AUTHORIZED BY THIS PERMIT MUST BE STAHTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUEU TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.