1420 GRAND AVE 2018-01-02 MF Import

�BtB 3/10/93 �` '^ PuE1lcWofMSPermite Application For emo.oeo��• z0A4R PUBLIC WORKS PERMIT P°°:o;:°�°°° : less�oot Fee Pala = - Belence Oue S Print or Type Only Ted Trepanier 1420 Grand Ave Everett 98201 259-5556 Owner MaiHng Address City Zip Phone Same Applicent Mailing Address Ci�y Zip Phone Describe Proposed Work Znd floor addn and remodel W Pro�ect Address Iif known) 1420 Grand Ave H Attach four(4)copfes of plena for proposed work•Draw to scale and note the following es applicable: � • Property Linea • Centerline af sireet � • Outline end dimensians of ell ezisting and • Indfcate North proposad structures on the lot • Show any proposed grading chenges . • Exiating and proposed utilitiea • Show measurements � DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All cella for Inepection shall be made 24 hra In edvance•phone 259-8810. � 2.All work ehall be peAormed in accordance with thia permit and cuRent City of Everett Design and Conatruction Standardn and Specificatlona 3.Call Locetion Underground Service 48 hro.bafore you dlg.TOLL FREE NUMBER 1•800-4245555. � O PUBLIC WORKS PEqMIT H NOT REQUIRED BY � DATE O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm• less the City of Everett irom any and all cleims for dameges, costs, expenses, or causes of action ihat may erise beceuse ol inatalletion � and maintenance of lhe improvement or other righPof•way use hereto applied tor and further agrees to remove seme upon notice irom the Approved for Construction Dale City and to replace public property dzmaged thereby. FINAL INSPECTION Date Date Approved es Constructed Signature of Applicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200CedarStreet BE DILIGENTIY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett WA 98201 CANCFLLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259•BB10 pROJECT OVER 90 DAYS DURATION.