5024 9TH AVE W 2016-01-01 MF Import

� � TYPE OR PRINT ONLY Owner Applicant f�plication For PUBLIC DvORKS PERMIT Dat _ Describe Proposed Work _ PUBLIC W�RKS DEPARTMENT public Works Pertnit A 3200 Cedar Street Everetl, WA 98201 259-8810 Buildi�g Permit 8 _ Public Works Fee $ _ Plan Check No: C 54391 SEPA Applicat.Date: 03/04/97 Job Addreee: 5024 §TH AVE W Owner: SCOTT BRIAN Tenant: Proposed Uue: SINGLE FAMILY RESIDENCE Deac. of Wori:: ADD ROOM ABOVE GARAGE OFFICE SET JOS SET APPROIrED FOR PERMIT: DATE_/_/_ PROJECT ADDRESS (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the lollowing if applicable: •Property Lines °Outline and dimensions of all ezisting and proposed structures on ihe lot •Exlsting and proposed utililies •Centerline of street 'Indicate North •Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. Ali cails for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this permit and curren: 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. N� iU� I i G V'�OV �C 5�Gt`Ir1 i�. KGQ�1 � 1'C(� . v � Approved for Construction Date FINAL INSPECTION Date Approved as Constructed ACKNOWLEDGEMENT OF CONOITIONS The undersigned owner/applicant hereby agrees to hold and save hartnless the City of Everett from any and all claims for damages, costs, expenses, or causes of actlon that may arise because of Irstallatlon and maintenance of lhe Improvement or other right-of-way use herato applied for and turther agrees to remove same upon notice from the City and to replaca public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMI7 MUST BE STARTED WITHIN 180 DAYS pF DRTE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCEILED BY THE CITY UPON ANY ;TOPPAGE OF WORK ON THIS PROJECT OVER 90 UAYS DURATION.