6505 OLYMPIC DR 2016-01-01 MF Import

� TYPE OR PRINT ONLY Owner Applicent � Ikation For PUBLIC WORKS PERMIT Describe Proposed Work __ PROJECT ADDRESS Qf knowr) PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 259•8810 Date Publlc Nbrks Pertnit M Building Permk k_ Publlc Nbrks Fee $ _ Plan Check No: B 5/0732 SEPA APPJobgAddree 6505ZO�YMPIC DR Owner: PANKEY JOHN Tenant: Propoeed Uee: GARAGE Deec, of Work: GARAGE/STORAGE ADDITION OFFICE SET-JOB SET APPRVD FOR PERMIT: DATE ��_/_ BY_ Atlach four (4) copies ot plans for proposed work - Drew to scale and note the following N appliwble: Phone Phone Rroperty Lines �putline and dimensions of all axisting and proposed structures on the lat •Existing end proposed utiltties 'Centerline of street •Indicate North 5how any proposed grading changes 5how measurements PERMIT CONDITIONS: 1. All calis 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 1-800-4245555. Approved for Construction Data FINAL INSPECTION Date Approved as Constructed 'UAlIC R'OqKS PEPM�� hdT SEUUIREn �Y�� . iATF, _,��Lr.�C � ACKNOWLEOGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to ho�d and save harmlass the City of Everetl hom any and all claims for damages, costs, expenses, or causes of ection that may arise because oi installation and maintenance of the improvement or other right-oi•way use he�eto applied for and fuAher agrees to remove same upon notice from the CNy and to replace public property damaged ihereby. Signature of Applicant Date WORK AUTHORRED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE OILIGENTLY PURSUED TO COMPLEf10N. TH�S PERMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.