9114 4TH PL SE 2016-01-01 MF Import

7YPE UR PRINT ONLY Owner Applicant !� a�iun Fo� PUBLIC WURKS P�RMIT Describe Proposed Work _ PFOJECT ADDRESS (if known) PUBLIC WORKS DEPARTMENT 3200 Cedar £2reet Everett, WA 48201 259-8010 Plan Check No: B 59128 Applicat.Date: 06/10/98 Job Addrese: 9114 4TH PL SE thaner: CURTIS ROBERT C Tenant: Proposed Use: GARAGE Deec. of Work: CHANGE CARFORT TO GARAGE W/ADDN OFFICE SET JOB SET �- i Date Public Warks Permit M _ Building Permit M Public Works Fee $ SEPA Phone APPROVED FOR PERMIT: DA2E_/_/_ BY Phone � Anach lour (4) copies of plans for proposed work - Draw lo scale and note the following it applicable: •Pmperty Lines •Outline and dimensions ol all ezisting and proposed structures on ihe lot •Existing and proposed utilities •Cenlerline ol streel •Indicate North •Show any proposed graAing changes 'Show measurements PERMIT CONDITIONS: 1. All calls for inspection shatl be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance wilh this permit and current City of E�:�rett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. Approvetl lor Conslruction Date FINAL IIJSPECIION Date Appmved as Constructed W � � v / W O^ ♦ L� /�� V ♦ OA li ACKNOWLEDGEMENT Of CONDIT10N5 The undersigned owner/applicant hereby agrees to hold and save hartnless the City ot Everett Irom any and all claims for damages, costs, expenses, or causes ol action that may arise because ol installalion and maintenance ol the improvement or other right-ol-way use hereto applied lor antl further agrees to remove same upon notice from the City and to ieplace public property damaged thereby. Signature Date JJORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DIL�GENiLY PURSUED TO COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON TF'.IS PROJECT OVER 9U DAYS DUF3ATION.