3612 24TH ST 2016-01-01 MF Import

i � � �plicatlon For � � � PUBLIC VvORKS PERMIT °a`a PUBLIC WORKS DEPARTMENT Public Works Permit N I3200 Cedrr Slreet Everetl,WA 98201 259•8810 Building Permit M Public Works Fee$ TYPE OR PRINT ONLY Plan Check No: C 54381 SEPA Applicat•Date: 03/04/97 phone Owner Job Ad�ner: DETWILERHFAYE Tenant: Ptoposed Uee: SINGLE FAMILY RESIDENCE phone lieant Deec. of Work: APP� NEW FOUNDATION, PLUMBING , Describe Proposed Work_. oFFzcE SET JOB SET W Ar�phOVED FOR PERMIT: DATE_/_/_ BY � � N PROJECT ADDRESS(if known) m Ariech tour(4j copies of plans for proposed work-Draw to scale and note the following if applicable: O •Property L1nes 'Outline and dimensions ot all ezisting and proposed structures on the lot •Existing and proposed utilitles 'Centerline of street •Indicate NoRh •Show any proposed grading changes •Show measurements � DO NOT WRITE BELOW THIS LINE � PERPdIT CONDITIONS: 1.All calls for inspection shall be made 24 hours in advance-phone 259-8�10. O 2. All work shall be performed in accordance with this permit and current C y of Everett Design and Construction Standards and Specification�. � 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE iJUMBER 1-800-4245555. V/ N� Q�h�z �rk5 ��'m�t �?e��rc�. a � ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save hermless � the City ot Evereri from any and all dalms tor damages,costs,expenses,or causes of action that may arise because of Installation and maintenance of ApprovedforConstruction Date theimprovementorotherrigM-of-wayuseheretoepplledforandfurtheragrees to remove same upon notice fiom the Ciry and to replace publlc ploperty damaged thereby. � FINAL INSPECTION Date Approved as Constructed Signature of Applicant Date COMP'E'ION.RTFiIS ERM T MAY BE ANCELLEDTBY THE CITYIUPON ANY STOPPAGE OF WORK ON THIS PRO.IE T OVER 90 DAYS DULRATION.Y PUFSUED TO