2120 HIGHLAND AVE 2016-01-01 MF Import

�. .-. Date Applicatlon For PUBLIC WORKS PERMIT Print or Type Only PuElic Worh� P�rmlt • BIOp. D�O�� • Pu0lkwork�Fea ' TOW Fs� Ust Appl FN PUA f Babn<� Du� i Plan Chack No: H 42167 SfiPA Applicat.Date: OB�27/93 Owner Job Add�a== NALBACH LAWRBNCE H Tenants Propo�ad Use: GARAGE/STORAGE Applicant Describe Proposed Work Proleat Address (II known) D��c. of Work: G1IRAGE ADDN W/STORAGE ABOVE OFFICB S&T�_JOB SET I�pPROVED FOR PERMIT: DATE_/�I� BY Atlach four (4) copfes o1 plana for proposed work • Draw to scale and nole� Ceniterline of sheetceble: • Property Linea � ��dicate North • Outlfne and dimensions ol all existing and � Shaw any praposed qradinp changes proposed atructures on the lot • Show meesurementa • Exlatinp end propoaed utilitles Phone Phone PERMIT CONDITIONS 1. All cella tor Inapection ahell ba mede 24 hra. In advence • phone 259�8810. 2. All work ehell be peAormed In accordance with this permit and current City of Everelt DesiQn end Conatructlon Standerde and Speeificationa 3. Call locetion Underqround Service 4B hra before you diq. TOLI FREE NUMBER 1•800�4i4555 . PUBLIG WORKS PERMIT NOT REOUIREO BV� DATE � � Approved tor Construction Date FINAL INSPECTION Date qpproved as Constr��ted �PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everatt KA 98201 Phone:259•BB10 W H � � I • 1 �_J � � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicenl hereby aqrees to hold and save harm• less Ihe City of Everett irom eny and all cleima for damaqes, costa expenses, or causes af action that may arise because of inslallalion and maintenence ol the improvement or olher right•of•way use hereto epplied for and turther agrees to remove same upon notice Irom the Cily and to replace public property dameqed thereby. Date Signature ol APPlican� 1y80RDAYS OF DATE PERMIT ISESSUED AND HEREAFTER ISHTO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.