3715 OAKES AVE 2016-01-01 MF Import

� TYPE OR PRINT ONLY t �Iicelion For PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Eve2iL WA 98201 259•8810 � oa�e 6-29-98 Public Works Permit N� 9% Building Pertnit M 59326 pd Public Works Fee $ _ .37�'� (pR, v�E�.x,r) Everett School District 4730 Colby Ave Everett 98203 Owner Mailing Address City Zlp Phone Ross Jamieson 252-2153 Applicant Malling Address City Zip Phone �� Describe Proposed Work PROJECT ADDRESS (if known) 3� Ave Attach four (4) copies of plans lor proposed work - Draw to scale and note the following if appliwhle: Annex •Property L1nes 'Outline and dlmensions of all ezisting and proposed structures on the lot •F�cisting and proposed utilities 'Centerline of street •Indicate North 5how 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 7-800-424-5555. q �vo,� T B� a�N� �E,� ,� pp,evuFO O�cI 7—iS-9�3 f�ld N �o,�y� 4�4�d� � O /�/� V♦ O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless �� 5� a 1he City of Everett from any and all claims tor damage�, costs, ezpenses, or causes ot action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto app�ied for and turther agrees to remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date Appmved as Constructed /h �1�� Signature of Ap cant Date WORK AUTIiOPIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSU THEREAFTER IS TO BE DIUGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY TME CIN UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATION.