3030 TULALIP AVE 2016-01-01 MF Import

c 30 —? q - Date 7-24-91 r ` ~ PuObc Worha Permit e Applica�ic.i For Bmy oeo�� 91/27909 PUBLIC WORKS PERMIT PubL�WO�UFeO To�a�F�e s le�e RoO��Fee PaiO S Print or Type Only Balance0ue S ClarenceAndresen 3110 Tulalip Everett 98201 none Owner MaJmg Adtlress City Zip Phone Gary Werner PO Box 1346 Granite Falls 98252 691-5815 Applicant Mailing Address City Zip Phone Describe Proposed Wnrk Addition of 156 sS SF, remodel kitchen � Prolect Address(it known) 3110 Tulalip AVe � A�tach four(4)copies of plans lor proposed work- Draw to scale and note the tollowing as applicable: � • Property Lines • Cenferline of street � • Outline and dimer,sions of all existing and • Indicate North proposed structures on Ihe lot • Show any proposed grading changes • Existing and proposed utilitles • Show measurements � DO NOT WRITE BELOW THIS LI�JE O �ERMIT CONDITIONS 1.All calls for inspection�hall be made 24 hrs.in advance•phone 25J•BS�O. � 2.All work shall be pedormed in acwrdance with this permit and current City ol Everett Design and ConsiruCtion Standards end Specifications. 3.Call location Underground Service 48 hrs.before you dig.TOLI FREE NUMBER 1-800•a24•5555. � l?tlQ�' l� z�:/'- l��'.^.,.i%�'.�j' �ii.�� r.,� O �) ,,//6, `� � Y% �' �i � � � .^,��z� � � /�za��L(�,r O /l��-'�.�.i �-� s_�«k�.:- ,o - � �«�. s�� :t ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/ap,�licant hereby agrees to hold and save harm� � less the City oi Everett Irom any and all claims for damages, costs. � expenses, or causes oi action Ihat may arise because ol installation and maintenance ol the improvemenl or other right-of-way use hereto applied for and furiher agrees to remove same upon notice Irom ihe Approved tor Conntruction Date Cily and to replace public property damaged ihereby. FINAL INSPECTION Date Approved as Constructed Signature of ApPlicant Date PUBLIC WORKSDEFART�MENT WORK AUTHORIZED BY Tfil3 PERMIT MUST BE STAfITED WITHIN 3200CedarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TU COMPLETION. THIS PEAMI7 MAY BE Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK GN THIS PROJECT OVER 90 DAYS DURATION.