10314 19TH PL W 2016-01-01 MF Import

�,, '� ' 3!� PUBL/C WOF�KS PERM/T City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8610 Date: Public Works Permit #: Building Permit #; Planning keference #: Public Works Fee $: n�tie, e� UWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: KELLEI' SUSAN L 10314 19TH PL W EVERETT WA 98204 PHONE: 4253536046 PHONE: TAX PARCEL ID # 00710300002700 SITE ADDRESS: 10314 19T'rl PL W DESCRIPTION OF FROPOSED WORK: Nc:W DETACHED GARAGE 5/5/2010 PW 1005-003 61 J04-035 $ 25.00 rtKMl I GONDITIONS 1. All cails for inspection shall be mad� 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specitications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � 4. New driveway to be paved to existing asphalt roadw;y. 5. Contact Public Works Inspector Cliff Lindman at 425-339-7404 with questions and for fina� inspection. � �'� "rVS�Ii�G � E II Approved for Consiruction Date FINAL INSPECTION Date Approved as Constructed ��'(_Sµ�(. y3� �or 4� Gk �ItOWr`• � W�5 Can�,�e F � � � z � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, cosis, expenses, or causes of action thal may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and fuAher agrees to remove same upon notice trom ihe City and to replace �ublic property damaged thereby. Signature of Applicant Data WORK AUTHORIZED BY THIS PERMiT P1UST BE STARTED WRHIN 180 DAYS OF GATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLEfION. TriIS PERPiR MAY BE CANCELLED BY THE C1TY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION.