4701 SEAHURST AVE 2018-01-02 MF Import

Application For PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 259-8810 TYPE OR PRINT ONLY To POSTING HI212001 21 Date 3-4-99 Public works Permit N Building Permita _,— Public works Fee $ zy Jeff Gray PO Box 716 Everett 98206 425-252-3699 Owner Mailing Address City Zip Phone Owner Applicant Describe Proposed Work Mailing Address new house PROJECT ADDRESS (if known) 4701 Seahurst Ave Lot 1 SP li1-98 Attach four (4) copies of plans for proposed work - Drew to scale and note the following if applicable: Phone •Property, Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities 'Centerline of street •Indicate North *Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 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 1-800-424-556G. ti BUILD 1021.75 PLUMB 77.00 MECH 60.GO SRCHB 4.50 DRIVrt 20.00 11 31876 SEWER 70.00 UTILITY 1296.00 TOTAL 2549.25 A OM 910 W H z 0 V♦ 0 a GHEK 2549,25 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, Or causes of action that may arse because of Installation and maintenance of the improvement or other right-d-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. 3 Signat of/AppAW 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.