822 89TH ST SE 2018-01-02 MF Import

F-16 Date 4?,HP Application For PUBLIC WORKS PERMIT Print or Type Only (k tk Applicant Mailing TO POSTING Describe Proposed Work � ( , Project Address III known) Public works Permi/ / O� Bldg Debt Public works Fee 1 otel Fee .ess 11PPI Foe Poe 9 Balance Due $ Zip Phone Attach lout Jill copies of plans lot proposed work - Draw to scale and Fit to 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 • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 hrs. in advance • phone 259.8810. 2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Cell Location Underground Service 48 hra. before you dig. TOLL FREE NUMBER 1.800-424.5555. Approved l onstructionpp111roved 1 onstruction Date F�SPECTI N Dale Date 'oproved as Constructed velett PUBLIC WORKS DEPARTMENT 3200 Cedar Street . Everett, WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS 9 Cl) In O n z O 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•ol•way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signal e BI Appl nl Date WORW AUTHOR ZED BY THIS PERMIT MUST BE STARTED WITHI' 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TC 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.