722 89TH ST SE 2018-01-02 MF Import

02�_4_ Application For PUBLIC WORKS PERMIT Print or Type Only Address Fa�lip Worts Permde t7 J��J� Bldg Dept • �� Public Wort. Fee S Tmel Fee L•ee APPI Fee Paid S Bel.eo. Due S 49JQ 7-5 883 Zip Phone S,1a-e- Applicant Mailing Address City Zip Phone Describe Proposed Work C e'r+ s7-A..._ % ,S Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indlcat i North • Show fny proposed grading chainges • Show measurements PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 hrs. in advance - phone 259.881 5. 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. IL,) C,... J - %/ 7 L Yks.a. �ioa�y 3��85 Approved for Construction fate FINAL INSPECTION Date Approved as Constructed rvcrett PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone 259-8815 -7h•r� ACKNOWLEDGEMENT OF CONDITIONS z O O a The undersigned ownzr; applicant hereby agrees to hold and save harm- less the City of Everett from any and all ciulms for damages, costs, e,penses. or causes of soon that may arise becauee of installation and maintenance of the improvement or other right-ol-way use hereto applied for and lurther agrees to remove same upon notice from the City qnd to replace public propertypamaged thereby. WORK AUTHORIZED BY THIS PERMIT 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.