714 89TH ST SE 2018-01-02 MF Import

Dates? �? Aophcntion For PUBLIC WORKS PERMIT Print or Type Only G Der. tribe Proposed Work City PuMq Wdike P�e��mll} �`-' T 5 Bldg Dept e .r7uy� Public Winrka FN , Total Fee Leo Appl Fee Paid 8 -- Bebnce Due ti 760. Va 7 sar Zip Phone/, -- Protect Address (if known) Attach four (4) copies of plans for proposed work - Draw to state and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North • Show any proposed grading changes proposed structures on the lot •Show measurements • Existing and proposed utilities PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs, In advance - phone 259.8815. 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. Approved for Consru,,tion Date FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street i Everett. WA 98201 Phone: 259.8615 ACKNOWLEDGEMENT OF CONDITIONS LU z 0 U) 0 am The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. 7xpenses, or causes of action that may arise because of installation and maintenanue 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. Igna ure of Applic Date WORK AUTHORI2 D BY THIS RMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 15 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.