1228 GRAND AVE 2018-01-02 MF Import

8/24/93 � v�mmwoa�re�m��41795 Det6 ' emc oeut.• — Applicatlon For PUBLIC WORKS PERMIT °�b;oW saFee s Leaa ApO�Fee P�IE S B�lanee Due S Print or Type Only Dan McKinnon 1228 Grand Ave Everett WA 98201 258-1162 City Zip Phone . Owner MaiRn9 Address ' . OWnei CitY ZIP Phone ppplicant Melling Address Describe Proposed Wark Residential addition � i W 1228 Grand Ave � Pro�xt Addreae(tl known) � � Atlech lour(4)copies of plens for proposed work•Drew to scale and note�Ceolerline ot sdeet able: � '� � prppeAy Lines • Indicate North I • Outline end dimensions of all existing and � Show any proposed grading changes , proposed structures on the lot � Show measurements M • Exlsting end propoaed utilities W IDO NOT WRITE BELOW THIS LINE O I PERMIT CONDITIONS � i 1.All caUs for Inapectlon ahell be mede 24 hrs.in advance-phone 259�8870. 2.All worlc ahell be peAormed�n accordence with this perrr•�t end curtent City of Everett Desiqn and Construction Stendards and Specificationa � 3.Cell Loutlon Underpround Service 48 hra before you di&TOLL FREE NUMBER 1-80P4245555. O PUBLIC WORKS PERIi11T � NOT REOUIRED N BV ODATE 8 a`� q3 a �� ACKNOWLEDGEMENT OF CONDITIONS ' The undersigned owner/applicent hereby agrees lo hold and seve harm- '; less lhe Ciry of Everelt Irom any and all claims tor demeges, costa expenses, or causes of aclion that may arise because ot installation and maintenance of ihe improvement or other righhot•wey use hereto applied for and further agrees to remove seme upon notice from the I qpproved tor Construction Date Cily and to replace public property damaged thereby. Date Dale , FINAL INSPECTION SignaWre of APPlicant ' Approved as Constructed yyORK AUTHORIZED BY THIS PERMIT MUST BE STARTED W�THIN � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO � � 3200 CedarStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everet4 WA 90201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259-8810 PROJECT OVER 90 DAYS DURATION.