5031 27TH AVE W 2016-01-01 MF Import

Date Appl(cation Fot PUBLIC WORK� PEF�F++AIT A Print or Type Only Owner qpplicant �� Descdbe Proposed WorF Plan Check No: B 37826 SEPA Applicat.Date: 08�27�92 Job Addreas: 50 1 7TH AVE W Owner: LONG, MIKE & FRANCINE Tenant: Proposed Use: SF�R/CARPORT Desc. of Work: CARPORT OFFICE SET JOB SET APPROVED FOR PERMIT: DATE_/_/_ BY IPuDlic Woek� Permll • Bl�1,r,. Oepl. � � PUCIic Works Fas s Tolel Fae Lew �p0� Fes P�iO s B�lenn Dus S � � Zip .. � :- � , Phone .. Zip Pho�e Prolect Address (if known) � Attach tour(4) copies ol plans lor proposed work- Draw to scale and note� Centerline of �Pye� able: • Property Lines � Indicate North • Outline and dimensions of all exisiing and � Show anY proposed grading changes proposed structures on the lot � Show measurements • Existing end proposed utilities PERMIT CONDITIONS 1. All cells tor Inapaction shall be made 24 hrs. in edvanca • phone 259-8810. 2, qll work shell be performed in accordance with this permit and curtent City of Everett Design and Construction Standerds end Speciflcetions. 3. Call Lxstion U�derground Service 48 hrs. before you dla TOLL FREE NUMBER 1•SOC 'i245555. Approved for Consiruction \� � '� ,��e o� � � � � \,� 2Q �r %'�, %� INITIAL IN8PECTIOH KIRK BROOKS W H � � DATE `�' �r ^�� 7GEMENTOFCONDITIONS ilicant hereby agrees to hold and save harm• �m any and all claims for dameges, costs, lion that may erise because of installation provemenl or other right•of•way use hereto ees to remova same upon notice from the Dale � City and to replace public property damaged thereby. FINAL INSPECTION Date Approve� as Constructed y�PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everntt, WA 98201 Phone: 259•8810 Signature ol Applicant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON NNY STOPPAGE QF WORK ON THIS PiiOJECT OVER 90 DAYS DURATION.