3703 NORTON AVE 2018-01-02 MF Import

Date 1�1 — S �' PubllcWorksPermu• ApplicallonFor emo.oao��• 467�9 PUBLIC WORKS PERMIT °°°°°W°"°`°° Talal Feo S Less Appl.Fea PaiE S BalanCeDue S . Print or Type Only M Douglas Davis 3703 Norton Ave Everett 98201 252-2956 Owner Mailing Address Ciry Zip Phone Owner Appiicant Mailing Address City Zip Phone Describe Proposed Work detaChed garage -- W Proiecl Address(if known) 3703 Norton Ave � Atlach four(4)copies of plans for proposed work• Draw to scale and note the following as applicable: � • Property Lines • Centerline of slreet � ' • Outline and dimensions of all existing and � Indicate North proposed siructures on the lot • Show any proposed grading changes • Ezisting and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All cells far inspection shall be made 24 hrs.in advance-phone 259•881 O. �\ 2.All work shall be performed in accr:dance with this permit and current City of Everett Design and Construction � Standerds and Specifications. 3.Call Locetion Underground Service 48 hre.betore you dig.TOLL FREE NUMBER 1•800-424•5555. � � ��v/�-� / � �� ,� O ��-�-� � � / `� Jy� o a � ACKNOWLEDGEDAENT OF CONDITIONS � 7he undersigned owner/applicant hereby agrees to hold and save harm� less the Ciry of Everett irom any and all claims for damages, costs, expenses, or causes of action Ihat may arise because ot installation and maintenance of the improvement or other right•of•way use hereto applied for and f�rther agrees to remove same upon notice irom the Approved for Construction Date City and to replace public property dama9ed thereby. FINAL INSPECTION Date Date Approved as Constructed Signature of Applicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED INITHIN �� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200CedarStreet BE DILIGENTLI' PURSUED TO COMPLETION.THIS PEFMIT MAY BE Everet4�'1A 962�1 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259•8870 PROJECT OVER 90 DAYS DURATION.