3403 NASSAU ST 2016-01-01 MF Import

� Date ��6/93 AppliCatWn FOf � PUBLIC WORKS PERMIT Print or Type Only � PUEIic Worlu PvmH � ___`�.3��1� eiau. o.o� . 41211 Pu01�e Work� Fao (ob� Fb S Last AppL Fo Ptl0 S B�I�na Du� i Z� �� Mary Lea Lambe 3403 Naesau Everett 98201 252-5203 Owner Mai{ing Address � City Zip Phone c vner qpplicant Meiling Address City Zip Phone Deacribe Proposed work �8ra8e and covered breezeway Project Addrese (if known) Atlach four (4) coples ot plans tor proposed work • Draw to scale and note the fullowing as applicab!e: • Property Linea • Centerline ot street • OutNne and dimensions ot all existinp and • Indicate North proposed structurea on the lot • Show eny proposed grading chenpes • Ezistinp and proposed utllities • Show measurementa PERMIT CONDITIONS 1. All cslle for inapectlon shall be made 24 hra in advence • phone 259•6810• 2. All work ahall be peAormed In eccordance with this parmit and cunent City of Everett Deelgn and Conatruction Standarde and Speclficationa 3. Cell Lacatlon Underpround Service 48 hra be(ore you diq. TOLL FREE NUMBER 1•800^'124-5555. — �7�9�crr�i 7�5�9 3 Approved tor Const uction 81e FIN4L INSPECTION Date qpproved as Constructed �PUBLIC WOPKS DEPARTMENT 3200 Cedar Streat Everelt WA 98201 Phone:259•8810 ACKNOWLEDGEMENT OF CONDITIONS W H � � � O � � O a The undersigned ow�er/epplicant hereby agrees to hold and save harm- less the City of F.varell trom any and all claims lor demeges, costs. expenses, or causes of action Ihat may arise because of inslallaUon and maintene�ce ol the improvement or other right•ol•wey use hereto applied lor and 'urther agrees to remove same upon �otice irom the City and to replace Public property damaged thereby. '[7, L,�� vt�s-S.� Signatu plicant Date WORK THORIZED BY THIS PERA:�T MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS IG � AND THFqEAFTER IS TO BE DILIuENTLY PURSUED TO CC � .ION. THIS f ERMIT MAY BE CANCELIED BY THE CITY UPON A�. .� OPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.