2111 MCDOUGALL AVE A 2018-01-02 MF Import

t�lication Fu, OOL PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMEN i 3200 Cedar Street Everett, WA 98201 259-8810 TYPE OR PRINT ONLY Don Rodenhizer 2111 McDougall Ave Everett 98201 Owner Address Date _ 7— Public Works Permit 4 Building Permit If 55845 Public Works Fee E Zip Phone Renaissance Builders Chuck 43`�-5548 Applicant Mailing Address City Zip Phone Describe Proposed Work PROJECT ADDRESS (if known) addition and deck 1.1 Ave Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: •Properly 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 UU NUT WRITE BELOW THIS LINE 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 Design and Construrtion Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. �1�1 o7v 4 Approved for Construction Date FINAL INSPECTION Date Approved as Constructeo W I- Im O z O ♦1=0 CIO O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any 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. of Applicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE cRMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.