2503 7TH ST 2016-01-01 MF Import

TYPE OR PRINT ONLY i -'��plication For PUBLIC 1rrORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 259-8810 Owner Mailii Applicant Describe Proposed VJork PROJECT ADDRESS (if I�nown) P1>n Check No: C 53978 Applicat.Date: O1/16/97 Job Addresa: 2503 5TH ST Owner: BARKER ARLEE Dai. Public Works Permit N Building Permit p __ f�ublic Works Fee 5 _ SEPA Tenant: Proposed Uae: SINGLE FAMILY RESZDENCE Deac. of Work: CONVERT EXISTING GARAGE TO HCDROOM OFFICE SET JOB APPROVED FOR PERMIT: DATE_/_�_ gy Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: 'Property Lines •Outline and dimensions of all existing and proposed stmctures on tha lot •Existing and proposed utilities •Centerline of street •Indicate NoAh •Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. Ali calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. Ali worl: 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 NUM�ER 1-800-424-5555. IVO Ju�(�ZWOC�S !��"n1�T�Jiir.�1. � Approved (or Consimction Date FINAL INSPECTION Date Approved as Constructed � O ♦r� V♦ O �. 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, costs, expenses, or causes of ac�ion ihai may arise because of installation and mainlenance of the improvement or other right-of-way use hereto applied for and fuAher agrees to remove same upon notice from the City and to replace public property damaged ihereby. Signature o( ApplicaM Date WORK AUTHORiZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOFPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.