1012 W MUKILTEO BLVD 2016-01-01 MF Import

TYPE OR PRINT ONLY Owner ApPlicanl +difetlo^ For PUBL6C ORKS PERMIT PUBIJC WORKS DEPARTMENT 3200 Cedar Sireet E�erett, WA 98201 259-8810 Describe Proposed Work _ Plan Check No: B 59966 SSPA AppLicat.Date: 08/20/98 Job Addreee: 10i2 W HURILTEO BLVD Owner: SOMMARS SUSlW Tenant: Propoeed Uee: GARAGS/SFR Deac. of Work: ADDITION OF GARAGE Da� P�bn� �nro� �,,,n M Building Pertnk M _ Public Works Fee S _ OFFICE SET uOB SBT APPROVED FOR PERMIT: DATE_/_/_ BY ' PROJECT ADDRESS (f known) Phone Phone Attach four (4) copies of plans tor proposed work - Draw to scale and note the toilowing if applicable: •Property L1nes 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utfltties 'Centerline of street •Indicate North 5how any proposed grading changas 5how meesurements PERMIT CONDITIONS: 1. All calls 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 Uesign and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. �UDLIC WpRKs �ERMIP ►�OT ��RE� � T� ~ 1�---� ___ f�[�} qpproved for Construction �ata F�NAL INSPECTION Date Approved as Constructed � O � N O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hemby agrees to hold and save hartnles+ the City of Eve�ett from any and all claims tor damages, costs, expenses. or causes of action that may arise beceuse of installatlon and maintenence of the improvement or other rightot-wey use hmeto applied for end 1�rther a9�em to remove same upon notice 1mm the City end to replace publk property damaged thareby. Sfgnature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN �180 DAYS OF DATE PERMR IS ISSUED AND iHEREAFfER IS TO BE UILI6ENTLY PURSUED TO COMPLETION. hIIS PERMIT MAY BE CANCELLED BY THF CITY UPON ANY STOPPAGE OF WORK ON iHIS PROJECT OVER 90 DAYS DURATION.