306 88TH ST SE 2018-01-02 MF Import

Date'/2II/90 Application For PUBLIC WORKS PERMIT Print or Type Only Public Works P*Prll• t-- Bldg Dapl. a Say 75160 Public Works Fee Total Fee Lees Apo% Fee Paid S Balance Due i Owner Applicant Mailing Address City Zip Phone Describe Proposed Work int; _ RRth St SE Project Address (if known) Attach four (4) copies of plans for proposed work • Draw to state and note Centering as of applicable: • Property Lines • Indicate North • Outline and dimensions of all existing and • Show any proposed grading changes proposed structures the lot • Show measurements • Existing and proposedd utilities PERMIT CONDITIONS 1. All cells for Inspection shell be made 24 hire. In advance • phone 259.8810. 2. All work shell be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. Approved for Construction Date FINAL INSPECTION Date Approved as Constructed 11 everett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett. WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF CONDITIONS W H 00 0 n z 0 H 0 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, expensus, or causes of action that may arise because of installation 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 Dale WORK AUTHORIZED DATE PERMIT ISISSUEDAND THEREAFTER ISRMIT MUST BE STARTED TO IN ISO DAYSOFTO 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.