2518 81ST PL SE 2018-01-02 MF Import

R Application F r PUBLIC WORKS PERMIT Print or Type G Ily Owndr \'— Meiling Address Pubke work• Pamir . f!/ 133(1- star Dept, • M2z 9s Pubkr.%vorMx F•• ' TWO Fee L•u AoW Flea Paid' 7/ si3 6 J,sy-7670 Applicant Mailing Address City Zlp Phone A n Doscribe Proposed Work .t n � � / 9 of � l!e ✓ !/,v � i '�2 - — Pri'lec; Address (it known) 1 1 _ el PC, S, F Attach four (4) copies of plans for proposed work. Draw 10 scale end not,l� Cenfollowing as of apeeit able: • Property Lines Y Indicate North • Outline and dimensions of all existing and 0 Show any proposed grading changes • Existing anndd proposed e uutilities the lot proposed0 Show measurements PERMIT CONDITIONS 1. All calls for inspection shell be made 24 its. In advance - phone 259.8815. 2. A4 work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specification& 3. Cell Location Underground Service 48 hi s. before you dig. TOLL FREE NUMBER 1.800.424.5555. everett PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 98201 Phone: 259.8815 ACKNOWLEDGEMENT OF CONDITIONS W N 0 d z 0 Y / 0 00 The undnrslgned owner/appiicant 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 righl•of•way use hereto applied for and turf r agrees to remove same uron notice from the City and to replace bll pr party damaged thereby. J re of Applicant Dete WK AUTHORIZED 180 DAYS OF DATE PERMIT IS ISSUED WITHIN SSUED AND HEREAFTER 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.