4220 S 3RD AVE 2016-01-01 MF Import

� � TYPE OR PRINT ONLY � 'vD��ion For PUBLIC �.ORKS PERMIT PUBLIC WORKS DFPARTMENT 3200 Cedar Street Everett, WA 98207 259-8810 Datt 5-13-97 Pubiic W�rks Pertnit M Building Permit M 55110 Public Nbrks Fee S Mark 6 Tammy Ethier 4220 S 3rd Ave Everett 98203 335-6123 Owner Mailing Address Ciry Zip Phone Owner Applicant Describe Proposed Work PROJECT ADDRESS (if known) build 4220 S 3rd Ave City Attach four (4) copies of plans for proposed work - Draw to sr.ale and note the following if applicable: •Property Lines 'Outline and dimensions of all ezisting and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indicate NoAh •Show any proposed grading changes •Sl��ow measumments 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 Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ��o i� ��,��r,�- Approved for Construction Date FINAI. INSPECTION Date Approved as Constructed ��, � ��. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save hartnless the City o1 Everett irom any and all claims for damages, costs, ezpenses, or causes ol actlon that may arise because of installation and maintenance ol ihe improvement or other nght-of-way use hereto applied for and further agrees to remove same upon notice irom the City antl to replace pubLc pmperty damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PEflM1T MUST B'e STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENP_Y PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORN ON THIS PRQIECT OVER 90 DAYS DURATION.