4911 OCEAN AVE 2018-01-02 MF Import

\ Application For 41W PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 (425) 257.881(1 TYPE OR PRINT ONLY Owner Applicant Describe Proposed Work _ l ' Deln Public Works Permit " Building Permit M _ Public Works Fee $ Plan Check No: C 62460 S1:PA Ap3licac.Date: 05/13 9/ 9 Job Andress: 4911 OCEAN AVS Owner: PITCHER DAVID/ERIN Tenantt Proposed Use: SINGLE FAMILY RESIDENCE Deac. of Norkt REMODEL BASEMENT, ADD MEN DECK i ENTRY PROJECT ADDRESS (if known) OFFICE SST JOB SET APPROVED FOR PERMIT: DATE_/_/__ BY Attach four (4) copies Plans for proposed work - Draw to scale and note the following If applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • ContMine of street • 1. to North • Show any proposed grading changes • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 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 1-800-424-550. Approvedor Construction Date FINAL INSPECTION Date Approved as Constructed "Us"C WORKS R fiR Illy. Not 1RMti [iR 4ATF, W U) M 0 z 0 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to fold End save hamsess ee City of Everett from any and all claims for dameyss, Dose, expenses, or causes of action that may aft* because of I I Imlt are maintenance of es knprovenent or 01Mr right-of-way use hsrsto applied for are Meer agrees b remove tarts upon notice from ee City and so replace public property dam- aged thereby. wO W AUMORZED BY THIS PERMfT kkfST BE STARTED WITHIN 18D DAYS OF DATE PERM I IS ISSUED AND THEREAFTER 1810 BE DLIGENTLY PURBLEDT0 COMPLETION. THIS PERMIT MAYBE CANCELLED BYTHECIT UPONANYSTOPPAGE OFWOR(ONTHIS PROJECTOY@1gSDWSOLPM110N.