1923 RUCKER AVE 2016-01-01 MF Import

� __ APPliwtion For .. PUBLIC YORKS PERMIT PUBLIC WORKS DEPARTMENT Public Nbrks Permit M 3200 Cedar Street Evereri,WA 98'<Ot 259-8810 Building Permit M TYPEORPRINTONLY plan Check No: C 50960 SEPA rksFeeS Applicat.Date: 02/26/96 Job Addreee: 1923 kUCKER AVE Owner: KELLY JERRY �� Tenant: Phone Propoeed Use: SINGLE FAMILY RESIDENCE Desc. of Work: REMODEL . Appiicent Phone OFFICE SET JOB SET DBSC�b2 PfOpOS2d WOfk _ APPROVED FOR PERMIT: DATE_/_/_, BY W � � � PROJECT ADDRESS(if knawn) M Atlach tour(4)r,opies of plans for proposrJ wark-Draw to swle and note the following if app�icable: ��+ •Property V,res �Outline and dimensions ol ell ezisting end proposed structures on the lot •Existing and proposed utilNles O �Centerline oi street 9ndicate North •Show any proposed grading changes •Show measurements � DO NOT WRITE BELOW THIS LINE � PERMIT CONDITIONS• 1.All�.alls for inspection shall be made 24 hours in advance-phone 259-8810. O 2.All work shall be perfortned in accordance with this pertnit and current City of Everett Design and Construction Standards and Specifications. 3.Call Loca:ion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. H v/ O a r�URLIC WORNS PEPM�� hO�r//9�FUUIREP af7c —'.=—F��P_--• ACKNOWLEDGEMENT OF CONDITIONS The undersiqned owner/applicant hereby agrees to hold and save hartnless ihe City of Everetl from any and all daims for damages,cosis,ezpenses,cr causes of action that may arise bxause of Installation and maintenance of ApprovedWrConstruction �a�e theimprovementorotherright-of-wayuseheretoappliedforandlurtheragrees to remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as ConsWcted Signature of Applicant Date WORK AU7HORIZE�BY iHIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED TO COMPLETION.THIS PERMIT MAY BE GANCELLED 8Y THE GN UPON ANY STOPPAGE OF WORK ON T111S PROJECT OVER 90 DAYS DURATION.