6325 SYCAMORE PL 2016-01-01 MF Import

Date qpplication For PUBLIC WORKS PERMIT Print or Type Only Richard Willits Everett Builders Inc. OescriJe Proposed Work Prolecl Address (if known) 6325 Sycamore Everett 5606 Evergreen Way Everett Address 16'22' Addition to existing residence 6325 PuDi¢ Works Permit � -� eia9. oeo�� • 83/12463 Pupl�ic Works Fee s iotal Fee less POC� Fee PeiJ S Paiance Due s 98203 353-3791 iP Phone 98203 353-7161 up Altach four (4) copies of plans lor proposed work - Draw �o scale and note� Ce^�,erline of stPeei; able: • Property Lines • Indicate Nor�h • Outline and dimensions ol all ezis�ing and � Show any propo�ed grading changes proposed structures on the �ot � Show measurements • Ezisting and proposed utilities PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259'88i 5. 2. All work shall be Performed in accordance wilh this permit and current City of Everett Design and Construction Standards and Soecifications. 3. Call Locetion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1�80�-424•55 . ne�"„�� rl` �, �° � �� � ��, �,� �� r j be�� 3��83 \ �,c�� ,lpproved lor Construction Date FINAL INSPECTION Date Approved as Constructed everett PUBLIC WORKS OEPARTMEhT � 3200 Cedar Street Everett, WA 98201 Phone: 259-8815 W H � � � � ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedapplicant hereby agrees to hold and save cosis, less the City of Everett irom any and all claims lor damages, expenses, or causes o( aclion that may arise because ot installation and maintenance of the improvemenl or other right•o!�way use hereto applied tor and �urther agree:� to remove same upon notice irom the Ci�y an o rePla�e Public property damaged Ihereby. i � � ,�_ �/7 -f�3 Date Signature o ApPli nt WORK AUTHOR ED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS O ATE PERMIT IS ISSUED AND THEREAFTER �S TO BE DILIGE.NTLY PURSUED TO COMPLETION. THIS PERMIT MAY BC- CANCELIED DY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.