5019 NICHOLS PL 2016-01-01 MF Import

PUBLIC WORKS PERMIT Date: 7/25/2011 ` Public Works Permit #: PW1107-010 City af Everett Pw@lic Worxs Dep$rtm@tR'i� h�ON) �'3�18 guildinA Pertnit #; B1107-019 3200 �er Sheet �FG-1 0:,�17� t Everett, WA 98201 Cj�l�ning Reference #: (4z�1C��2-4�? Q i;7p j 9 Public Works Fee $: $ 25.00 t Fvr. 5"v;.;,5 Other $: i wu. qpp� L, j� NAME AND ADDRESS: OWNER NAME AND ADDRESS: j[,�Ip� u� BROCK DAVID & KELLY 1 S � i4.50 5019 NICHOLS PL T� �f�QO _ 40 EVERElT WA 98203 CfitCti 3f�G0.4C PHONE: 4253480616 PHONE: TAX PARCEL ID N 00737500002000 SITE ADDRESS: 5019 NICHOLS PL DESCRIPTION OF PROPOSED WORK: 2 STORY ADDITION - GARAGEIDENILIVING PERMIT CONDITIONS 1. All calls for inspection shall be rnade 24 hours in advance. 2. All work shall be performed in accordance witfi the permit and curcent City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � 4. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning the project. Call Randy Allen at 425-339-7403 5. No dirt, mud, rocks or debris to be tracked onto roadway. 6. No building materials to be stacked on sidewalk and sidewalk to be kept clean and open for pedestrian travel. ACKNOWLEDG�MENT OF CONDITIONS The undersigned owner/applica��t hereby agrees to hold and save hertnless the City of Everett from any and all daims for demages, costs, expenses, or ceuses of adian thet may arise because of installation and meintenence of the improvement or other right-of-way use hereto applied lor and fuRher egrees to remove same upon notice from the City end to replace public properly demaged thereby. ,��y�� fOf� l o� l l Signeture of Appli Date WORK AUTHORIZED BY TH15 PERMR MUST BE STARTED WIfHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIl]GENTLY PURSUED TO (bMPLEfION. THIS PERMiT MAY BE fANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TT115 PRO]ECT OVER 90 DAYS DURATIOPL