5925 OAKES AVE 2016-01-01 MF Import

Date Z-3-94 Application For PUBLIC WORKS PERMIT Print or Type Onty _� PoOlic Worb Permit • eiaa. o.a�. • 43451 wen� won�. vsa Total Fee = Leu ApO� F!e P�iC f Bal�nca Due i Dave Neukirch 5925 Oakes Ave Everett 98203 355-824U Owner MaiNnf, Atldress City Zip Phone Oimer Applicant Mellinp AOdress Cily 2ip phone Describe Propoaed Work neW g8i8ge Project Add�. ss pf known� 5925 Oakes A� Attach four (4) copies of plans for proposed work - Draw to scale and note the following es applicable: • PropeAy Linen • Centerline of street • Outline and dimensiona of all existinp and • Indicete North prOposed atructures on the lot • Show eny proposed gradfng changes � Ezistinp and propoaed utilities • Show measurements PERMIT CANDITIONS 1. All cNls for Inepectlon shsll be m�de 21 hra. in advance - phone 259$610. 2. All work ehall be peAormed In �xordance with thie permit and current City of Everett Desipn and Construction ShM�rds �nd 3pecificetlana 3. GII Loc�Non Underpround Serv{cs 48 hra betore you dig. TOLL FREE NUMSER 1-800-424bSS6. �� (� n �J lW �pL,�y��G�fi PSitM1i �� F� •�p G1u�F�Qr— I v.. BY OATE Approved for Conslruction Date � � FINAL INSPECTION Date � Approved as Consiruded � �PUBIIC WORKS DEPARTMENT 3200 Ceder Street Evaretl WA 98201 Phone: 259-88t0 ACKNOWLEDGEMENT OF CONDITIONS W H � � � O a The undersignetl owner/epplicant he�eby aprees to hold �nd seve harm• less the City of Everett from eny end all cleims tor damapea, coet& expenses, or causea ot ection that mey erise becauae ol instellation and maintenance of the improvement or other ri0ht•of-way use hereto applied tor and turther agrees to remove seme upon no[Ice lrom the City and to replace public property damaged the�eby. Signature ol Applicant Dete WORK AUTHORIZEO BY THIS PERMIT MUST 8E STARTED WITHIN �BO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVEf; 90 DAYS DUqATION.