902 N BROADWAY CREDIT UNION 2018-01-01 MF Import

Oate� Application For PUBLIC WORK.S PERMIT Print or Type Only PubLc Workc Pm _ BICp. DeO�� • Vublrc WorYs Feo Totn Fee S Less Aoo� Fee Paid S BaienceDue s pnone App�icant Mailing Address City Zip Phone Describe ProposeA Work Project Address Iif known) Attach lour (4) copies of plans for proposed worN - Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structwes on the lot • Existing and proposed utilitiec • Centerline ol strnet • Indicate Norih • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. A!I calls fqr inspection shall be made 24 hrs. in advance - phone 259•881 O. 2. All work sha�l be peAormed in accordance with this permit and cunent City of Everetl Design and Construction Stendards end Specitications. 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•B00•A24•5555. Approved for Construction �� 8� ��*s'�� Datc FINAL INSPECTION Date AFproved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett, WA 98201 Phone:259�8810 ACKNOWLEQGEMENT OF GONDITION� W H � � � � The undersigned owner/aGPlicant hereby agrees to hold and save harm- less the City of Everett frum any and all claims lor damages, rosts, ezpenses, o: causes of action that may arise because of in�!ellation and maintenance of the improvement or other righPo4way use hereto applied for and luriher agrees to remove same upon notice Irom the Ci�y and to replaCe public property damaged the�chy. Signature ol Applicant uu�e WORK AUTHORI7ED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUEO TO CJMPLETION. THIS PERMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVEF 90 DAYS DURA-i ION.