3809 SHORE AVE 2016-01-01 MF Import

8/26/99 / AppGcauo„Fo, Dato � � PUBLIC WORKS PERMIT public Works Pertnit M ��I PUBLIC WORKS DEPARTMENT 3200 Cedar Slreet Everen,WA 98201 (425)257-8810 Building Permit M C9908-024 TO POSTING N0N 3 0 200, �/� TYPE OR PRINT ONLY Public works Fee$ W KENNEDY .IOY.N 4916 23RD AVE W EVERETT 98203 425-267-9875 Owner Mailing Address Ciry Zip phone AppOcant Mai6ng Address Ciy � Zip phpne Describe Proposed Work NEW HOUSE W � Y/ PROJECTADDRESS (if known) 3809 SNORE AVE � Attach fwr(4)copies plans for proposed work-Draw to scale and note the lollowing i�applicable: O •Property Lines •Outline and dimensions of all eKisting and proposed structures on the bt •Existing antl pioposed utilities •CenteAine of street •IiMicate North •Show any proposed gratling changes •Show measurements DO NOT WRITE BELOW THIS LINE Z PERMIT CONDITIONS: O 1. All calls tor inspection shall be made 24 hours in advance -phone (�25) 257-8010 2. All work shall be performed in accordance with this permit and cuRent Ciry of Everett Design and ■ Construction Standards and Specifications. r 3. Call Location Underground Service 4B hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555. ♦/\ \/♦ �' � hic�iha�� 51�a��d b� vp9n�r�cs �r� t� ho�s� -� r�vP�''�'i o l;n.e �s P.er s� ��n �` 60 ,, �oz 1�� a .5 �i9� ��►1Q 5;�� r�.�of� � ex�-i�q S�OYM drttG� ryl S�'� or Se�£ nc� G.b, oh lzNc�n� 2��r�'r�.,t fti�h baw�yays � rrr�►�'� �o.�n�c��oh -�-G - �b PG✓ S� �7�t:n ��Z i � �.iZ� �1 ACKNOWLEDGEMENT OF CONDITIONS � y� �� The dndersigned owner/app�icant hereby agrees to Mld and save harmless v Ihe Ciry ot Everen trom any aM all clalms for damages,costs,ezpenses,or rove or s on, a e causes ol action that may arise because ol insUllation end malntenance of the � / / Improvement or other nght�of•way use hereto applied kr end lurther agrees ta ! `' ,� -_, _ ��' � remove same upon ootice from the CIty end to replace public properry dam� FINAL INSPECTION Dato / eg ebY / ' //� C�� 6 ) 9 � Approved as Constructed � � � � Signature ot AppNcanl a e VJORK AUTFqFi�D BY 1HIS PERMR MUST BE STARIED WITHIN 100 DAYS OF DATE PERMfi IS ISSUED AND T}£I�AF�ER IS TO BE DUOQJTLV RIHSUED TO OOI.WLEf10N.7HIS PERMR MAY BE CANCFILED BY h£qTV UPON ANY SNPPACiE OF NVFiC ON TMS PHO�ECT OVER 90 DAYS IX1RAT10N.