2502 LOMBARD AVE 2016-01-01 MF Import

� y PU�LIC WORKS Date 7/21/2004 PERMIT PublicWorksPermitN Po04o,-019 Building Permit d PUBLIC WORKS DEPARTMENT Planning Relerence p 3200 Cedar Street Everett,WA 98201 Public Works Fee$ $q5.00 �azsi zs�-aeio puC 1 � 2�D4 Guarantee S -� ��sriN� _____— OWNER NAME APPLICANT NAME ANDADDRESS:FIRST CAURCH OF T'HE TIf1ZARENE ANDADDRESS: BRESSLER MARVIN PO BOX 1073 EVERETT I� ?8206 PHONE: QZSZSZSZ�6 PHONE: QZS�S9O�O6 TA%FARCELI.D.p PROJECTADDRESS: 00439156503100 25 � PROFOSF.OwoaK: PARRZNG LOT GRADING/PAVIHG/DRAISAGE PERM!T CONDITIONS 1. All calls for inspection shall be maJe 24 hours in advance • phone (425)257-8810 2. All work shall be performed in accordance with ihis permit and current City of Everett Design and Consiruction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 W 9. Work to be done pee appcovzd ::ketch dated 7-12 04. � V+ I.I.i � � - �n '/ O - � N O a ACKNOWLEDGEMENT OF CONDITIONS � '7 � The undersigned owner/applicant hereby agrees to hold and �Z / o�� '¢ save harmless ihe Ciry of Everett Imm any and all claims for qpv vea lo nsuuction . Da �� damages,costs,ezpenses,or causes ot action ihat may arise � because of inslallation and maimenance of the improvement or � �/ ,� e�� other righbobway use hereto applied for and futlher agrees to GX remove same upon notice from the City and to replace public FINAL INSPECTION �y damaged thereby. Aopmvetl as Constmctetl Date t1Qh vc�L_C��Z 3"D Sign¢WreolApplicanl Date WORK AUTHORIZED BY THIS PERMIT MUST BE STAfiTED WI7HIN 1B'J DAYS OF OATE PERMIT IS ISSUED AND THERE:�FTEH IS TO BE DILIGENTLY PURSUED TO CO�APLETION.THIS PERMIT M11nY BE CANCELL[D�Y lHE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJEC'�OVER 90 DAYS DURATIG�.