2623 GRAND AVE 2016-01-01 MF Import

Date 3/25/93 � Apphcation �or PUBLIC WORkS PERMIT Print or Type Only Owner PubLc Works Pe�mil • B�ap. Deo�. � 40027 Puebc works Fee Tolelfee s Less PoO� Fee Pa�tl S Balence Oue S Jessica Panish/James Arrabito 2621 Grand Everett 336-3637 Mailing Address City Phone Falken Forshav 759-9171 Appiicant Mailing Address City Zip Phone Describe Proposed Work Addition/Remode_i — SFR Proiect Address (if known) Attach tour (4) copies ol plans for proposed work - Draw to scale and note the lollowing as applicable. • Property Lines • Outline and dimensions of all existing and proposed 5tructureS On the Iot � Existing and proposed utililies • Centerline ot street • Indicate North • Show any proposed grading changes • Show me2surements PERMIT CONDITIONS t. Atl calls for inspection shall be made 24 hrs. in advance - phone 259-8810. 2. All work shell be perfarmed in accordence with this permit and current City of Everett Design and Consiruction Standerds and Specifications. 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1•800-424•5555. PUBLIC WORKS PERMIT NOT REQUIREO BY DATE S %�' Approved for Construction Date 'INAL INS'ECTION Date oroved as Constructetl �PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 90207 Phone:259-BB10 ACKNOWLEDGEMENT OF CONDITIONS W H � � O � � O a The undersigned owner/applicant hereby agrees to hold and save harm- less the Ciry of EvereU from any and all claims for damages, costs, ezpenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-o4way use hereto applied for and further agrees to remove same upon notice Oom the Cily and to replace public properry damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAVS OF DATE PEF.MIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRUJECT OVER 90 DAYS DURATION.