900 W MARINE VIEW DR 2022-09-21 - Laserfiche WebLink

Date_1/1 ii4.4.! Public Works Permit# f��J'L Application For Bldg.Dept.# ` "_ 1' PUBLIC WORKS PERMIT Public Works Fee Total Fee $ CC rn Less Appl.Fee Paid $ �� Print or Type Only , p W 6t1/'OI — �� Balance Due $ CO2-- 3 Z Z'-/o 13 S 3 1 PO/2-r o i Ev C-TIf- Very- 5-3 5 gyr f rupco z 5`I 3/4/7/ Owner `ti.0, C Mailing Address City Zip Phone ' 54 (044ul„",.( n• /-j- r ,i OM. o1'E-�ICi2. Go4c-i/ fit-A-0,r Ft/rt. p,cgi.p 61 at0 (,} ca Applicant Mailing Address City Zip Phone Describe Proposed Work a L£- 12.- 1512t15/1 AL.-1 '1ZCEg .41-001 lhi_oy, / ,44i L Go r o t..,N f,3.7- Po►,fi r• Ev rki— Ill er,EST- 51OE D r: II4-01 ✓1c-�ci jp11.E Lt1' 171-6' Aire,F ',,,.6,-; Project Address(if known) /NOS( aF OFT/45f 01,244- P ,Oac S !r✓r4• IMill Attach four(4) copies of plans for proposed work- Draw to scale and note the following as applicable: NMI • Property Lines • Centerline of street Cl) • Outline and dimensions of all existing and • Indicate North Vn proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE 0 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 -.3 Standards and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-555. / / ' -- f s O r_ Z �� too,- skit be done 0, -/Ae S T� ea k P rx0 c0 j i 7 CO 0 by - lot-/ be-bf-ls ��. 3/2.1 q 0. ACKNOWLEDGEMENT OF CONDITIONS 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 r ffi_�J �5,,,, ..Z f 7 " and maintenance of the improvement or other right-of-way use hereto i applied for and further agrees to remove same upon notice from the Approved for Cons u ion sate City and to replace public property damaged thereby. FI NAL7�CTION Date "`" Approve..-s Constructed c.--- natu Applicant Date � -UBLIC WORKS DEPARTMENT O K AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS •TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Alp; CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259-8810 PROJECT OVER 90 DAYS DURATION.