1335 MADRONA AVE 2016-01-01 MF Import

Date 4-20-93 Appliwtion For PUBLIC WORKS PERMIT Print or Type Only William Mitchell Owner Owner Mailing Describe Proposed Work house addition Proiect Address (il known) 135 Madrona AVe r w to scale and nole the following as applicable: City acy IVu01ic Works Permi�+ BIep.Oeot.� �n�1n PuObc Works Fee $ To�al Fee Less AooL Fee Pa�� g Balance Due $ Atlach tour (4) copies of plans for proposed work • D a • Property Lines • Outline 3nd dimensions ot all existing and proposed structures on the lot • Exis�ing and proposed ulilities • Centerline ef slreel • Indicate North • Show any proposed gradng changes • Show measurements Phone PERMIT CONDITIONS 1. All calls !or inspection shall be made 24 hrs. in advance • phone 259•8810. 2. All work shall be performed in accordance with this permit and �u�rent City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOIL FREE NUMBER 1•800-424•555 . PUElLIC WpqKS PERMIT NOT qEOUIREp eY 1S DATE_ S� —2 / — �3 Approved for Construction Date Date FINAL INSPECTION Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone:259-8810 � O � � O a ACKNOWLEDGEMENT OF CONDITIONS The undersi9ned owner/applicant hereby a9rees to hold and save harm� less the Gity ot Everett irom any and all claims for damages, cosls, ezpenses, or causes ot action lhat may arise because of installation and maintenance of lhe improvement or other right-of�way use hereto applied �or and further agrees to remove same upon netice from the City and to replace public property damaged thereby. Date SignaWre of APPlicant WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTED WiTHIN BEODIDLIGENOTLY PURSUED TOICOMPLETION.DTHIS PERMIT MAY BE CANGELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURA'TION.