4925 RUCKER AVE 2018-01-02 MF Import

( ke • Apolrasm For PUBLIC WORKS PERMIT Public Works Permit If PUBLIC WORKS DEPARTMENT 3200 Ceder Street Everett, WA 98201 (425) 257.8810 Building Permit It TYPE OR PRINT ONLY Public Works Fee $ Plan Check Roe C 62458 $EPA Applicat.Dates 05/12/99 Job Addras 4925 ROCKER AVE Phone Owner Owners OLSON HARRY Tenants Proposed Unat SINGLE FAMILY RESIDENCE Phone Applicant Deac. of Norke ADDITION —BATHROOM AND CLOSET LU Describe Proposed Work _ OFFICE SET JOB SET APPRVD FOR PERMIT: DATE _/_/_ BY PROJECT ADDRESS (if known) 0 Attach four (4) copies plans for proposed work - Drew to scale and note the following if applicable: 00) • Property Lines • Outline and dimensions of all existing and proposed strictures on the lot • Existing and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 0 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. , 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. 0 ?UBLIC ORKS PERMIT NO OUIREF an Illy RATE___._-_ — Tp,,rove or Date F��INSPECTION Constructed Date ACKNOWLEDGEMENT OF CONDITIONS The undersigrrod ownerlspplloartt nereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs. exparrn, or causes of action that may arise because of kwallason and mainWwrce of the improvement or other right-of-way use herelo applied for and it~ agues lo remove same upon notice from the City and to replace public property darn, aged thereby. -�tT*i 1nrT:e f'•.. � � �^ice WORKAURgRIZED BY THIS PERMIT MUST BE STARTED wm*4180 DAYS OF DATE PERMIT IS ISSUEDA1DMWEAFTHI IS W BE DlJ0 Nny 1rl em-ro OOMPLETIOK TMS PERMIT MAY BE GWCEIIED BY THE CITY UPON ANY STOPPAGE OF WORK ON TM PAO&CTOVER gO DAYS DURATION.