25 SYDNEY LN 2016-01-01 MF Import

TYPE OR PRINT ONLY u.S� / qpplicalionFor +} 1— —95 PUBLIC WORKS�EI#AII�ASTING Date� - PUBLIC WORKS DEPART T Puhlic Works Permit k S�J� 3200 Cedar Street ae �� Everett, WA 98201 259•�10 Building Permit M � Berg Minnie 12417 36th Ave Mailing Address Tom BerR 337-0145 or 388-8 Describe Proposed Work r � �f S S�+ S N � � � � � M �erett 98208 cny �� addition to SFR to make duplex PROJECT ADDRESS(ifknown) ZS Sydney Lane �o~Gcs Fee $ ZD Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: •Property Lines 'Outline and dimensions of all ezisting and proposed structures on ihe lot •bcisting and proposed utilities 'Centerline of street •Indicate North •Show any proposed grading changes •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 pertnit 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. �, ��5�� s; d.e �� ° �" PUG Approved as Constructed � O �/� V♦ O a ACKNOWLEDGEMENT OF CONDITIONS // �� _ The un� ersigned owner/a � licant hereby agrees to hold and save hartnless the Cit o1 Everett trom an and all claims for damages, costs. exp=nses, or a causes of action that may arise because of installation and maintenance at the improvement or other righl-ol-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property �r.yL dam�gedthereby. �iai-s� WORK AUTHORIZEU B� THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE Of WORK ON THIS PROJECT OVER 90 DAYS DURATION.