9006 7TH AVE SE 2018-01-02 MF Import

Date 1-22-92 Application For PUBLIC WORKS PERMIT Print or Type Only Public Works Permit • _ Bldg Dept s 92 /35420 _ Public Works Fee $ Total Fee Less Appt Fee Paid $ Balance Due 9 Paul Drake 9006 - 7th AVe BE Everett WA 347-1265 Owner Mailing Address City Zip Phone Owner Applicant Mailing City Zip Describe Prnposed Work 2nd story addition over existing garage Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indicate N.11h • Show any proposed grading changes • Shuw measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259.8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. Approved for Construction Date FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT wil Ever Cedar Street Everett, WA 98201 Phone: 259.8810 l-zx-SYL ACKNOWLEDGEMENT OF CONDITIONS W H z 0 0 an The undersigned owner/applicant hereby agrees to hold and save harm- less :he City of Everett from any and all claims for damages, costs, expenses. or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged the. Signature of Applicant Date 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 ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.