3732 RUCKER AVE 2018-01-02 MF Import

7/7/92 y 27Z Date TO POSTING. r-<� 9r/ Public Works PermA3 Application For Bldg. Dept. • _ 3 PUBLIC WORKS PERMIT n°°lic rota FeeFea s I Less APPI. Fee Peed s S v�0 nn Print or Type Only Balance Due 002 - 322 `f0//B3 / N. J. Goodsell 11205 Callow Rd Lk Stevens 98258 334-5468 Owner Mailing Address City Zip Phone J D Collene Const 11015A 47th Ave NE Marysville 98270 659-6103 Applicant Mailing Address City Zip Phone Describe Proposed Work 3732 Rucker 2nd floor addn / 1st floor remodel Project Address (if known) 3?72- Rucker Attach four (4) copies of plans for proposed work !1ECH Draw to scale and note the following as applicable: p S eH • Property Lines • Centerline of street �QUC✓f �a • Outline and dimensions of all existing and • Indicate North t�1� proposed structures on the lot • Show any proposed grading genges • Existing and proposed utilities • Show measurements 1100028827 530.00 54.E :GC $16., PERMIT CONDITIONS 1. All cells for Inspection shall be made 24 hrs. in advance - phone 259.881 O. 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. -j /!i/tKe..I '? L e_. .�.s/ R.e-ce<c� l��.cc.ai14 �,c �iac.LCrl' r �vLG/✓ �OOI. /rW�L.e.e..tieca Umn,, a� �- ii _ n l!/.7P/ti.!'C . ,vu.e: ^p+y 6 C ACKNOWLEDGEMENT OF CONDITIONS ,srL : ?? 2 Approved a forL/Construction '^/ 1 ate 1�/014M ZugA- /fit v�.X - &t soarP/ !O N7�' -11"N INSPECTION Sato Approved as Constructed PUBLIC WORKS DEPARTMENT 4 3200 Cedar _treat Everett, WA 98201 Phone: 259.8810 W H U) O a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages. costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.