10522 7TH AVE SE 2016-01-01 MF Import

� �� 7�; Application For � � PU�LIC WORKS PERMIT Date 4-15-97 PUBLIC WORKS DEPARTMENT Public Works Permit ti 3200 Cedar Sireet Everett,WA 9d207 259-881 � � � Building Permit N 54A32 TYPEORPRINTONLY TO POSTING�-- publicWorksFee$ /_D G�� hturphy Building Co Inc 6135 Seaview Ave NW Seattle 98107 789-0436 Owner Mailinn Address City Zip Phone Owner Applicant MailingAddress c��y z�P ��n�o"�1.�R� �opq 44 Describe Proposed Work new house W�.r.�k #�00054832 . H — - PLEG 49B.00 - PROJECT ADDRESS (if knovdn) 17522 7th Ave SE Lot 2 SP 1112-�CHRG �¢,Sp v, � ` , W Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: PLN CH ;5,�j � •Property Lines •Ou�line and dimensions of all existing and proposed structures on tlie lot •Existing and pro�'�� •Centerline of street 'Indicate North •Show any proposed grading changes •Show measurements �T�' 4130,00 � DO NOT WRITE BELOW THIS LINE ��, $70'� Z PERMITCONDITIONS: S'JSpEU 41613.D0 1. 411 calls for inspection shall be madP 24 hours in advance-phone 259-8810. ENDIII 4330,00 2. All work shall be performed in accordance with this permit and current City of EQ�g,t�Des�� Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � � i f�u,� tu the pre�;ence ��t\vetl.mds at Ihe rcar oi�lhi, sitr, instail an Ditipersiou treuc4 built as p:•r ::cunu 3-2.6.2 and I'iqm•e 3-Z.Z su�d"1'able ;-2.3 oi'tlic� cily Sto�nn�ater i�4a��a,qem�ut ilI�wu�l (c p`�, d;q,I�J to fhis pcnnit). llispersion sy�terns sLould be b:�cldillcd to the surf:ic_ wilh ��a��el to �ill� «I�.1� 1br o��c�rflo<<: t ':�II Puhlic 11'or4:s tiv �m in�;pcc�ion prior ln cnvcrin�Ir�uchce:. 'I'li�• dispi•r,ion sc: em .I�aII b� lor�t:+d :duuc.th�� dec ct�ili�• ��rdwid bufter. x�itli a im.uuunui IUtt s�lbxck ii'oui buildine ii,undatiou bK� ACKNOWLEDGEIAENT OF CONDITIONS i �� /� �� . The undersigned owner/applicant hereby agrees to hold and save harmless � ihe City of Everet�from any and all claims for damages,costs,expenses,or Approved or Constmction D te causes of action�hat may arise because of installation and maintenance of the improvement or other riyht-of-way use hereto applied for and further agrees � to remove same upon notice from the City and to replace public property �� , /�— g—� 7 damagedthereby. FINAL INSPECTIO Date Approved as Consiructed n � � / ��.. j Signat of Applicant Date WOkK AUTHORIZED 6Y THIS PERMIT MUST BE STARTED WITHIN 180 DAYS 0�DATE PERMIT IS ISSUED ANU THEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLEfION.TH�S PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.