5822 1ST DR W 2016-01-01 MF Import

� licetion For � _ PUBLIC 1�JRKS PERMIT Date� _ 6/20/97 PUBLIC WORKS DEPARTMENT Public Nbrks Pertnit M 3200 Cedar Street — Everett,WA 98201 259-8870 Building Permit N 557�7 iYPE OR PRINT ONLY Public Works Fee 5 SHARMA ARVIN K 5822 1ST D^n W �VERETT 98203 347-9372 (PAGER 645-5158) Owner Mailing Address Ciry Zip Phone OWNER Applicanl MailingAddress City Zip Phone Describe Proposed Work BEDROOMS/FAMILY RUOM ADDITION � � � PROJECT ADpRESS(if known) 5822 1 ST DR W � Attach four(4)copie;of plans for p�oposed work-Draw to scale and note the lollowing If applicable: � •Property Lines 'Outline and dimensions of all existino and proposed siructures on the lot �Existing and proposed ulilities O •Centerline of street •Indicatu North •Show any proposed grading changes •Show measuremenis DO NOT WRITE BELOW THIS LINE � PERMIT CONDITIONS: � 1.All calls for inspection shali be made 24 hours in advance-phone 259-6810. 2. All work shall be performed in accordance with this permit and cunent City of Everett DPsign and O Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. befora you dig. TOLL FREE NUMBER 1-800-424-5555. � v♦ MUDIIC �i0111f� r6MM1� O Si _�1 CUIREr a av fATE--- /�//,� �j '..f".1"'�'��•1.... ACKNOWLEDGEMENT OF CONDITIONS The undersigned ow�er/applicant heieby agmes to hold and save harmless the City of Everett froni dr�y and all claims for damages,cosis,expenses,or P,pproved for Construction Date causes of action that may arise because of installation and maintenance of ihe improvement or other nght-of-way use hereto applied for and further agrees �o remove same upon notice f�m the City and to replace public pmperty damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO DE'JILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAiION.