1221 GRAND AVE 2018-01-02 MF Import

� ��PPliwtion For � PUBLIC WORKS PERMIT Da�e PUBLIC WORKS DEPARTMENT Public Works Pertnit k 3200 Cedar Street Everett,WA 98201 259•8810 Building Permit M TYPE OR PRINT ONLY o��ni�.w�.i,�F�a Plan Check No: H 53264 SEPA Applicat.Date: 10�18/96 Job Addreee: 12 1 GRAND AVS Owi�er Owner: LYDSTON DENNIS Phone Tenant: Propoeed Uae: DECK Deec. of Work: Applicant NEW DECK Phone Describe Proposed Work_ uFetcs SET J08 SET � APPROVED FOR PERMIT: DATE_/_/_ BY � � � PROJECT ADDRESS(if known) � Atlach four(4)copies of plans for proposed work•Drew lo scale and note the following if applicabie: O •PropeAy Unes 'Outline and dimensions ot all existing and proposed structures on the lot •Existing and proposed utilities 'Ce�terlina ot street Nndicate North 5how any proposed grading changes •Show measurements � DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: � 1. ,411 calls for inspection shall be made 24 hours in advance-phone 259-8810. O 2.Ali work shall be performed in accordance with this pertnit and current City of Everett Design and Construction Standards and Specifications. • 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � �// No p�� .�.s-+ ��,,n,a O � a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hoid and save harmless the City of Everett from any and all claims for damages,costs,expenses,or Approved lor Construction Date causes of actlon that may arise because o1 Installation antl mainlenanca ot the improvement or other right-of•way use herelo applied for and further agrees tu remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as ConsWcted Signature of Applican! Data WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITNIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE D�LIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.