705 80TH ST SW 2018-01-02 MF Import

AplNicFor PUBLIC' WORKS PERMIT PUBLIC WORKS DEPARTMENT 32D0 Cedar Street Everett, WA 98201 259-8810 TYPE OR PRINT ONLY u6p-5 8i!z SOwner Describe Proposed Work Mailing Date f MR S --P)P Public Works Permit 1 Building Permit e Public Works Fee $ M _ -mac - zx_r.s Zip Phone PROJECT ADDRESS (if known) _ �71 S S&j Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities 'Centerline of street 49ndicate North •Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. All calls for Inspection shall be made 24 hours 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 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. " / d,-b�, Laf Cor, `f/r/ Oh c s/jlc�t ll� OOh� /1-1r axqqftt�rQ1104.Zr /6 99 :FINAL t ion Date ---- z2 / 7 NS TI ate Approved as Co. structed W ca 0 MWJ 0 r� III / 0 an ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everstt from any and all claims for damages, costs, expenses, or causes of action that may arse because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public pmperty damaged thereby. 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.