2011 STATE ST 2016-01-01 MF Import

.�`�� ^�� ` PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-881P Dete: Public Works Permit #: Buildinp Permit #; Planning Reference #: Public Works Fee S: Ocher 3: OWNER NAME AND ADDRESS: APPUCANT NAME AVD ADDRESS: TRUE BARBARA TRUE BARBARA 2011 STATE ST 2011 STATE ST EVERETT WA 98201 EVERETT WA 98201 PHONE: 4253537161 PHONE: 4253537161 TAX PARCEL ID N 005632410D1100 SITE ADDRESS: 2011 STATE ST DESCRIPTION OF PROPOSED WORK: 18 X 18 CARPORT 7l5/2012 PW1207-003 81206-039 $ 25.00 PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Locatlon Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � 4. Pave from the alley to the carport. Your Public Works Inspector is Randy Allen. Call him at 425339-7403 for questions and inspections. W H � � i�a O ti z 0 H � 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/epplicant hereby agrees to hold and save hermleas Me City of Everett from any and ell claima for damages, costs, ezpenaes, or causea of edion that may eriae because ot inatalletion and meintenence of the improvement or other 'ght-of-wey use hereto applied for end further aprees to rem same upon otice from the City and to replaco public ro Ay dameg d th 1 y. Signeture ot AppNcent Date WORK AUT}iORIZED BY iH15 PERMIT MUST BE STARTED WITH[N 180 DAYS OF DATE PERMiT IS ISSUED AND lHERFAFTER IS TO BE DILIGENTLY PURSUED TO COMPLET[ON. T}i15 PERMR MAY BE CANCELLED BY iHE CITY UPON ANY STOPPAGE OF WORK ON 1H15 PR07ECT OVER 90 DAYS WRATION.