1726 RAINIER AVE 2018-01-02 MF Import

AW ',m For PUBLIC WORKS PERMIT Da1e PUBI IC WORKS DEPARTMENT 3200 Ceder Street Everett. WA9=1 259-NIO TYPE OR PRINT ONLY N Public Works Permit 0 BUNd N Permit 0 _ Publie Works Fee $ _ owner 1►pp3oicat.Date: 03/20aB SEPA Job Address: 17 6 AAININR AVE Owner: CLOSE MARK a ANN MARIE Tenant: Applicant DPrOPoufdNcch: SINGLE FAMILY REBIDENCE MIN DETACHED GAR -\OE Describe Proposed Work OFFICE SBT JOB SET APPROVBD FOR PERMIT: DATE_/_/_ BY PROJECT ADDRESS (f known) Attach lour (4) copies of plans for proposed work - Draw to scale and rate the folbwU:g If applicable: •Property Lines 'OutNne and dimensions of all existing and proposed structures on the lot `Exis9ng and proposed utilities •Centerline of street 9ndkate North 'Show any proposed grading changes •Show measurements 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 Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. -URLIC WORKS PERM!~ ti0 tREA BATE-- Approved for Construction Date FINAL INSPECTION Date Approved as Constructed () ca O ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and am harmless the City of Everett from any and all claim for damages. costs. expense, or causes of action that may arias because of installation and maintenance of the in:prownent or other right-of-way use hereto applied for and further agrees to remove some upon notice from the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 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.