7215 BROADWAY 2016-01-01 MF Import

�� lYPE OR PRINT ONLY Owner � Applicant ~ �cation For PUBLIC WORKS PERMIT Describe Proposed Work PUBLIC WORKS DEPAqTMENT Plan Check No: B 52148 Applicat.Date: 06/26/96 Job Addra: 7215 HROADWAY Owner: EASTMAN JERRY Tenant: Proposed Uee: SINGLE FAMILY Deec. of Work: NEW DETACHED GARAGE Date Pubiic Works Pertnit M SEPA g Pertnit M _ Works Fee S RESIDENCE OFFICE SET Jt7B SET APPRVD FOR PERMIT: DATE_/_�_ gy Phone ^� PROJECT ADDRESS (if known) Ariach }our (4) copies of p�ans tor proposed work - Draw to scale and note the following it applicable: •Property Lines 'Outline and dimensions of all existi�g and proposed structures on the lot •F�cisting and proposed utilities 'Centerline of street •Indicate NortM1 •Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Constniction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. �Uo P� bl�z I�or ks I��,�-� ; f��,�. Approved for Constr�ction Date FINAL INSPECTION Date Approved as Constructed � O ♦�� V♦ O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmlesc the City o1 Everett from any and all claims for damages, costs, expenses, or causes o1 action that may adse because of installation and maintenance of the impmvement or other right•o4way use hereto applied for and lurther agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGEPITLY PUFSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.