9222 9TH DR SE 2016-01-01 MF Import

NPE OR PRINT ONLY Owner Applicant ( lppliwtlon For PUBLIC v�J�ORKS PERMIT PUBLIC WORKS DEPARTMENT 5200 Cedar Street Everett, WA 98201 259-8810 Plan Check No: B 60454 Applicat.Date: 10/08/98 Job Aadra: 9227 9TH DR SE Owner: BRACK Tenant: Da.� Public Works Pertnil H _ Building Permit N Public Works Fee $ SEPA Phone Propoaed Uee: SINGLE FAMILY RESIDENCE Desc. of Work: Phone UNHEATED SUNROOM �� Describe Proposed Worr: _ oFeice SET APPRVD FOR PERMIT: DATE_/_/_ BY PROJECT ADDRESS (if known) Attach four (4) copies of plans for proposed work - Dre�v to scale and note the (ollowing if applicable: •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities •Ce .terline of street •Indicate NoAh 'Show any proposed grading changes •Show measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. Ail ti�ork shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Jnderground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. �� Approved for Consiniction Date FINAL INSPECTION Date Approved as Cons�mcted ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedapplicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise 6ecause of installation and maintenance o( tl �e 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 thereby. Signature of Applicant Date WORK AUTHORIZED BY Th'S PERMIT MUST BE STAHTED WITHIN 100 DAYS OF DATE PERMIT IS ISSUEJ AND THEREAFfER IS TO OE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION.