721 40TH PL 2016-01-01 MF Import

yv �n Y -f x r�s e it� �y'YtJ � r.:.. �:' _.. � s �� li . k� - _ � �,� . 'dita-' `K" .^,�,• n � �' Y t� �'A` t� Rr .+� . v� y .: ��'�.�8jf r u�p x -.; �r ,�y� �� a- .��S : '�. ..4 r'1�f� . �p� ,��} S"�'q... dTN�%YZ{;', x Sl"�k� �h��"R��'Sr `N �,�. Y�Fr)t�- Cl�..,Ui�Y��Y��t"'��+}-p � �'y L F, a '�2".s a ..f � �a � i s.r� �, y..� .5'-�r �i- O�.w� "+� 'v � t ��i n M ��F,-a �i � i+e x4 r y �}em .. "� `:._ .,-s-.�t-.,�� . -,r � � -� = v,,,��,y. � .�3 �'i+r`�Ldy � �sd� ''�$��z�,F ..,��i^`; `.`y.ke7�T`,�-Q1'«��'�,r4�k�✓ ,y�sR-h,^t",J .� 4 � w„",y�.�,/' ��c.--�.��l...� prC_�`rY� ��,"".*er��!'�a„'^"- a�i�.�`r.°%/,�-��:�'b�r..*•-�— =. 3-Y. ..._. _ _ �..."'��' �`,�`R' �.a'#�L- �YYhiie��____ �,�,.;'i''i�" n".., � .i•LZ�.� ff ��3�lyYfy � 3.i� u��"r-" +._,,,......�, "'_ '�___. � ��_...� _We" �i_:'.'t.�...`Y�:d. �et..�.�'''�1. Date _ . Pu�bc Works Porml�s Application For ema.oeoi.. PUBLIC WORK� PERMIT PVeTotaFoaFee § i Less Appt Foo PaiO $ Print or Type Only Plan Check No: B 46267 SEPA oa�a��o o�, S APJobcAddcess� 721z40TH PL fiwner: NUTT ERIC/BECKY Tenant: Proposred Use: SINGLE FAMILY RESIDENCE Owner Desc. of Work: :ip Phone ROOF 1.�0� EXISTING DECI� W/SKYLIGHTS Applicant OFFICE SET_ JOB SET _ ��P Phone APPROVED FOR :�ERMIT: DATE_/_/_ BY Describe Proposed Work _ W Prolect Addres:�(if known) � Attach four(4) copies of plans for proposed work� Draw to scale and note the following as applicable: � • Property Lines • Centerline of street � • Outline and dimensions of all existing and O Indicale North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE , PERMITCONDITIONS � 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � 2.All work shall be periormed in acco�dance with this permit and current Ciry of Everett Design and Construction . Slandards and Specifications. � 3.Cafl Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � � PUBLIC WORKS PEP.AIIT � hOT REOUIRED a Y `— �' ♦A :fATE �� ZZ i SL \+♦ , �/� li ACKNOWLEDGEMENT OF CONDITIONS The undersigned owneUapplicant hereby agrees to hold and save harm- less the Gity of Everett irom any and all claims for damages, costs. expenses, or causes of action that may arise because of installation and maintenance of ihe improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice trom ihe Approved for Construction Date City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature ol Applicant Date � PUBLIC vORKSDEPARTMENT WORK AUTHORIZED 3Y THIS PERMIT MUST BE STARTED WITHIN 3200Ceda:Street 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO Everett,WA 43201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:259-BF10 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THfS PROJECT OVER 90 DAYS DURATION.