5105 S 3RD AVE 2016-01-01 MF Import

TYPE OR PRINT ONLY Applica�ion Por PUBLIC WORK5 PERMIT PUBLIC WORKS UEPARTMENT 3200 Cetlur S�reet Everen, WA9B201 259-8810 TO POSTI��G Nov � s 200, r oate 8-27-96 � Pub�ic Nbrks Pertnit M 'I �/ ��0 Building Permit k 52705 Public Works Fee 5 � Tom Berg 12527 38th Ave SE Everett 98208 337-0145 Owner Mailing Address City Zip Phone Owner Appllcent Mailing Address Ciry Zfp Phone � Describe Proposed Work new house PROJECT ADDRESS (if known) 5 ��5 S, 3� Attach four (4) copies of plans for pmposed work - Draw to scaie arid note the following il applicable: •Prop� rty Linas 'Outline and Aimensions of all existing anr� proposed siructures on the lot •Existing and proposed utilities 'Centerline ot street •Indicate North •Show any pioposed grading changes 'Show measurements PERMIT CONDITIONS: 1. All calls for inspection shall be mad�: 24 hours in advance - phone 259-8810. 2. All work shall be performed i� accurdance with this permit ar,d current City of Everett Design and Construction Standards and Spscifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245'555. � O � N O a 09/16/96 2:16PM OOIXIM7 �K*� / M00124205 WRTFR fG0.00 NOOOS2'TOS BLDG f669.Q7 PtBG f63.OD 1£CH l60.00 SRCM�tti 14.50 URIVM'1 520.00 ACKNOWLE�ITg ONS The undersigned owner/appli y Id and save hartnless the City ot Everett hom any ar�aims , rnsts, expanses, w causes ol action that may arise bacsuse of installatb� arW malntenance of tha Improvement or ather right-of-way use hereto applied forand lurther agrees to remove same upon notice hom lha City end to replece pudb proparty damaged thereby. Siy. at o� Appl DaM WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfEH IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS i�ERMIT MAY BE CANCELLED BY THE Cltt UPON ANY STOPPAGE OF WORK ON 7HI5 PRQIECT OVER 90 DAYS DURATION.