1131 84TH ST SE 2018-01-02 MF Import

Date / `1 r Appbl alum I m 1 � ��Z�� PUBLIC WORKS PERMIT Print or Type Only TO POSTING _ I1-21,-41 Zip Nb1e WPrk%PerM4 e— BIEP pool e Pwm Works FM Toles he f - Lm APPI Pea Pup f B%lencn pus f Z'0 PrtT n Pr ApphcaN Melling Address City Zip Phone Describe Proposed Work / /✓/ Project Address (it knowni Si Attach lour (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'he lot • Show any proposed greding changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hra. in advance • phone 259.8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construclinn Standards and Specifications. 3. Cell Location Underground Service 48 hra. before you dig. TOLL FREE NUMBER 1.800-424.5555. �dtL.ss M_ 2 - S- 91 Approved 1 r•Constru tion DDaate FINAL TIO i/ ua�e Approved as Constructed i PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS W (41 Ior+ 0 n z O le— Cl) O a 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 installation and maintenance of the Improvement or other right-of-way use hereto applied lot and further agrees to remove some upon notice from the City and to replace public property damaged thereby. —Signature of Applicant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT 15 ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY HE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.