2207 GRAND AVE 2016-01-01 MF Import

Applicaiion For / � PUBLIC WORKS PERMIT �a�e 2/20/96 PUBL�C WORKS DEPARTMENT Public Works Permit a _�-l-�-F----- 3200 Cedar Street , Everett,WA98201 259-8810 BuildingPer,nitN �gj4 IYPEOHPRINTONLY �,. ;�nSTING JUN 1 3 1997 publicWorksFeeS �!i Dennis Carlson 718 115th Ave SE Lk Stevens 98258 334-3677 Owner Meiling Address City Zip Phone Applicant Mailing Address Ciry Zip Phone Describe Proposed Work New 4 unit apartment � O6/�7/96 8=^c1AM OOOR116 rlis't _� � 2207 Grand Ave (ABCD �0914 PROJECT ADDRESS(if known) � p nr, U ss�_sn � Attech four(4)copies of plans for proposed work-Draw to scaie and nota the tollowing if applicable: SRCHRG 54.50 �J f20.00 O 'Property Lines 'Outlinn and tllmensions of all existing and proposed structures on the lot •Existing and p tilities �Cenlerline of street 'Indicete Nor:h 5how eny proposed grading chenges 'Show measuraments „ ;6``� ND0051'7Bc ' DO fvJT WRITE BELOW THIS LINE �L • PERMIT CONDITIONS: Sf'iCf1�iG 34.50 � 1.All cells for inspection shall be made 24 hours in advance- phone 259-8810. �0051763 2.All work shall be performed in accordance with this r;�it and current City of E�GDesigA� O Construction Standards and Specifications. q00009006 3. Call Location Underground Service 48 hrs. be�oni you dig. TOLI FREE NUM�-804�1�' dN65. � L ^, N00030707 �� l.('JlI�1�C� �0��' CX�/�S�` � � Sro�2�Ti 570.00 � 0 � SJSD V 52040.00 O � /�y ,S�'t� ��n #('00/. ��^-G� ' J`� , .S �le��...��' -ts s�w�t :io.00 a � � � �r^ ��2 � Mq�E',Cf, 55096.40 V �� `�' n✓�Q'�`�y�'l Gvz1 � SPi✓��-, �. �y ACKNOWLEDGEMENT OF CONDITIONS � �'� The undersigned owner/applirant hereby aprees to hold and save hartnless the Ciry of Everett from any and all claims for damages,cosis,expenses,or Approved for Co truction Date causes of action that may arise because of installation and malntenance oi the impmvement or other right-of-way use tiereto applied for and further agrees � to remove same upon notice from the Gty and to replace public property �X �_�� _ �� tlamagedthereby. FI'NAL INSPECTION Date Approved as Constructed r Signature of Applicant Dale WORK AUTHORIZFD BY THIS PERMI?MUST BE STARTED WIhiIN 180 DAYS OF DATE PERMIT IS ISSUED AND TH�REAFfER IS TO BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.