4111 OLIVE ST 2018-01-02 MF Import

Date 5-4-94 Application For PUBLIC WORKS PERL41 C, Print or Type Only TO rosiiimG4—�� U � Q The Tredt Owner Owner PO Box 3014 Ev ��-'�'.In.:.Vidress Molunq -50 Public Works Permit • =�I�Zs Bldg. Beat. s 44299 T LAOPI e $ Pall S I]i ro OO d' OO O OM 3' NM .-i W M I-m 10 M M all,-C P 1 347-7184 o ti l,n r� O U Ph.... 000.1 n M. =� "' O r y- a ai3imnd�e'�auWi �. Gt Cdp--- Zm Phone Describe Proper ^d Work new house______ -__- Lot 1 531-90 __--------,_-__-- -- _.-._-- -- Protect Address (it know n!� 11 1 -_`-- O1,�Je,l—e, --- "- Attach four (4) copies of plans for propcsed work - Draw to Scala and noto the following as applicable. • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North Proposed structures on the lot • Show any rroposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS 1. All calls for inspection shall be made 2�, hrs. in advance - phone 259.88y of 2. All work shall be performed in accordance with this permit and current City of Everett Design and Constructir, Standards and Specifications. 3, Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street t, Everett, WA 98201 Phone: 259-8810 La) �I z O Ch O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm. less the City of Everett from any and all claims for damages. costs. expenses. or causes of action that may arise because of installation and maintenance of the Improvement or other right-of-way use hereto applied for and further agrees to temove same upon notice from the City and to replace public property damaged thereby. Signa :te of An ant Date WORD( AUTHOWZED 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 WORE. ON THIS PROJECT OVER 90 DAYS DURATION. Describe Proper ^d Work new house______ -__- Lot 1 531-90 __--------,_-__-- -- _.-._-- -- Protect Address (it know n!� 11 1 -_`-- O1,�Je,l—e, --- "- Attach four (4) copies of plans for propcsed work - Draw to Scala and noto the following as applicable. • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North Proposed structures on the lot • Show any rroposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS 1. All calls for inspection shall be made 2�, hrs. in advance - phone 259.88y of 2. All work shall be performed in accordance with this permit and current City of Everett Design and Constructir, Standards and Specifications. 3, Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street t, Everett, WA 98201 Phone: 259-8810 La) �I z O Ch O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm. less the City of Everett from any and all claims for damages. costs. expenses. or causes of action that may arise because of installation and maintenance of the Improvement or other right-of-way use hereto applied for and further agrees to temove same upon notice from the City and to replace public property damaged thereby. Signa :te of An ant Date WORD( AUTHOWZED 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 WORE. ON THIS PROJECT OVER 90 DAYS DURATION.