5719 WEST DR 2016-01-01 MF Import

� PUBLIC WJRKS PERMIT Date PUBLIC WORKS DEPARTMENT Public Works pertnk M 3200 Cedar Street Everett,WA 98207 259-8810 Building Permit N TYPE OR PRINT ONLY Public Works Fee$_- �� N Plan Check No: B 50�55 Phone 1�pplicat.Date: O1/31/96 SEPA Job ]lddres 5714 �t$ST DR Applkant N a+nora SYBERT2 ICEN Tenent: Phone ' Proposed L•ee: GARAGE �escribe Proposed Work NEWCDBTACHEDkGARACE OFFICE SET JOH SET � APPAVD FOR PERNITs DATC_/_�_ � PROJECT ADDRESS(if known) � Atlach four(4)cropies of plans for proposed work-Draw to scale and note the tollowing H appiicable: m �Property Lines 'Outllne and tlimenslons of,:ll exisling and proposed str..�ctures on the lot •Enisting and proposeU utflities O � `GntMlne of straet ryndicate North 5how any proposed Qrading changes •Show measurementa DO NOT WRITE BELOW THIS LINE � PERMIT CONDITIONS: � 1. All calls for inspection shall be made 24 hours in advance-phune 259-8810. 2.All work shall be pertormed in accordance with this permit and cunent City of Everett Design and O Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-5555. /�� Y/ •'UBLIC WORKS PEpM�• O ' tiOf R OUIPE� � �Y " �� _ . YATE_ ��,C- ACKNOWLEDGEMENT OF COkDtiIONS The undersigned owner/applicant hereby apmes to hold and sava harmless the City of Everett from any and all claims for damages,costs,exoenses,or Approved for ConsWdion Date causes of action ihat may arise because of install�.tion and maintenance of the Improvement or other righbof-way use hereto.pplied}or und furth�y apreeg to remove same upon notice from the City a�.id to replace pi.blic propsMy damaged thereby. FIN:.L INSPECTION Date Approved as Cnnstructed Signafine ol Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE SihRTED WITHIN 180 OAYS OF DATE PEP,MII�IS ISSUED AND THEREAFfER IS TO BE DIIIGENILY pURSUED TO COMPLEiION.1liIS PERMIT MAY BE CANCELLED BY THE GTV 11pON ANY STOFPAGE OF WORK ON THIS P;IOJECT OVER 90 DPYS DURATION.