8620 XAVIER WAY 2016-01-01 MF Import

� � TYPE OR PRINT ONLY Owner Applicant A� nion For PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 CeOar Street Everett, WA 98201 259-8810 � Date _ Public Works Parmit 1 Building PermA N _ Public Works Fee E _ Pl�n Check Noe B 56954 SEPA Appllcat.Dates 10/29/97 Job Addre: 8620 XAVIER WAY Owner: DAO THANG XUAN Tenents Propoaed Uses GARAGE Deec. of worke DETACHED CARAGE Describe Proposed Work _ oFFIcs srx APPRVD FOR PEAMIT: DATE_/_/_ BY PROJECT ADDRESS (if known) Attach lour (d) copies of plans lor Froposed work • Draw to scale and note the lollowing if applicable: Phone Phone •Property Lines 'Outline and dimensions uf nll existing and proposed structures on the lot •Existing and proposed utilitles •Centerline ol street •Indicate North •Show any proposed grading i��anges •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 1-800-424-5555. :�� u� Ro �"�'H��s h �y � �uu��te��,er —`. i •aTE'- .� D _l,_�7; -, 7� Approved lor Construction Date FINAL INSPECTION Date Appmved as Constructed ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant herehy agrees to hold and save harmless ihe City ol Everett 1n>m any and all claims for damages, costs, expenses, or causes ol actlon thet may arise because of installation and maintenance ol the improvement or ��ther right-ol-way use hereto applied for and further agrees to remove same u�on notice from ihe City and to replace public pioperty damaged thereby. Signature ol Applicant Date WORK AUTHORIZED BY TH;S PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AN� THERFAFTEp IS TO BE DIL�GENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CIlY UPON ANY S70PPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.