4819 HARBOR LN 2018-01-02 MF Import

OL PUBLICQORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Ceder SbeM Everett, WA 98201 259-8810 TYPE OR PRINT ONLY Plan Check No: C 62016 ApplicataDate: 03/30 99 JJob Address: 4819 HARBOR LANE Owner: BUNPASS EARL dc Public Works Permit • Building Pemlll A Public World Fee S SEPA Phone Tenant: Proposed Use: SINGLE FAMILY RESIDENCE Desc. of Work: Phone BEDROOM ADDN ABOVE GARAGE re — OFFICE SET JOB SET APPROVED FOR PERMIT: DATE _/_/_ PROJECT ADDRESS Of known) Attach four (4) copies of plans for proposed work - Draw to scab and note the following 8 applicable: 'Property Lines e0utlins and dirnenslons of all existing and proposed structures on the lot aExisting and proposed utilities eCentedlne of street 'Indicate North -how any proposed grading changes 'Show meal nments PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed In accordance with this permit and current City of Everett Design and Constriction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 14MO-424-5W& :'UNLIC WORKS PERMII SY NOT, EOUIREPI BATE. _.... Approved for Construction Date FINAL INSPECTION Date Approved as Cons;; ucted W eta z O O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/eppkard hereby agrees to hold and save harmless the City of Everett from any and a9 cleYns for drnepsa, costs, expenses, or causes of action that may rice because of Installation and maintenance of the i nprovernent or other right-d-way use hereto app9sd for and further agrees to remove srne upon notice from the City and to replace public property dwWW thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 100 DAYS OF DATE PERMIT 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 PROJECT OVER 90 DAYS DURATION.