417 MORGAN RD 2018-01-02 MF Import

Date -- Application For PUBLIC WORKS PERMIT Print or Type Only Owner Applicant Describe Proposed Work Plan Check No: C 43307 SEPA Applicat.Date: 01/20/94 Job AdOwner: HAMPELess: 417 RGAN �D GENE Tenant- Proposed Use: SINGLE FAMILY RESIDENCE Deer: of Work: ADDITION, REROOF, DECK OFFICE SET JOB SET APPROVED FOR PERMIT: DATE_/_/_ BY Project Address (if known) — Attach four (4) copies of plans for proposed work PubIK Works Peridd + Bldg Dept - Publlb Works Fee $ Total 1'ee Less Appt Fee Paid S Balance Due $ Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements Phone Phone PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. 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 1-800-424-5555- Approved for Construction ,11JBLIC NOT VORKS REQUIRED MIT BY_ O %� DATE / Date FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everet.. WA 98201 Phone: 259-8810 z 0 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from an., 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 remove same upon notice from the City and to replace public property damaged thereby. Date Signature ApplicantWOK 80RDAYST OF AUTHORIZED PERMIT ISESSUED ANDS THEREAFTER IH STO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UFON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION,