706 89TH ST SE 2018-01-02 MF Import

Date < < } 0 PUJLIC 9 Print or Type OMA 07 Application For WORKS PERMIT � o� r) POSTING -21-9s M N„( J M Public Works Permll_a Bldg DePI ar— Public Works Fee Tolsl Fee 5 Less aPPI Fee Paid f Balance Dee $ Describe Proposed Work O CQh.R Project Address (if known) -70 6 — eF, .f L`� UJ 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 ch • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1. All calls for Inspection shall be made 24 his. In advance • phone 259.8810. 0 2. All work shall be performed In accordance with this permit and current City or Everett Design and Construction Standards and Speciflcationa 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. z A st--t-A'L_� aE To O �l44 ESZ� rT- It) uN a'YL O a everett PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/app:icant 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 for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Date 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.