2307 116TH ST SE 2016-01-01 MF Import

� TYPE OR PRINT ONLY Ownxr Applicar� »pliCAlion For PUBLIC '. _ ORKS PEFiMIT Describe Proposed Work PUBLIC WORKS DEPARTMENT 3200 Cednr Street Everet6 WA 98201 259-8810 Plen Check Nos B 53143 SEPA Applicet.Dete: 10/OB/96 Job Ad�ner: AANOLD1LARRY/ANN Tenants Propoeed Uees GARAGE Deec. of Work= NEW DETACHED GARAGE OFFICE SET JOB SET APPAOVED FOA PERHITs DATB_/_I_ PROJECT ADDRESS (It known) Da _ _— PubliC Works Permi� N _ Bullding Permit N Pu61ic Works Fee E __ Phone f�hon= Attach lour (4) copiee ol plane fo: proposed work • Draw to acale end nota the lollowing II eppliceble: •Property Llnes 'Outllne and dimenslons ol ell exis�ing and proposed sirucfures on thn lol •Exlsling and proposed utllilles 'Centerlina of street •Indieate North �Shnw eny proposad grading chenges •Show meesuremente PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be peifor�ned in a�:cordance with thls permit end current City of Everett Design and Constructl�m Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-6555. �Q F'�hI2 uX��-S ��'Ym�'� �,✓�/�� • � I�"` . Approvad for Construct� m FINAL INSPECTiON De�e Approved ae Coostructad W � � Y / � O � � O ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby egrees to hoid and save harmless the Cl�y of Everet� Irom any nnd ell clalms lor dameges, costs, ezpen:es, or ceuses ol nclion thal mey erise baceuse olinslallntlon end malntenan^.e ol the improvement or other right�of-way use hemto eppllad br anG!� �hher agrees to remove seme upon notice from the City and to replece public proporty dameged thereby. Slgnalure of Appl�cant Date WORK AUTHORIZED BY THIS PERMIi MUST AE STARTED WITFIIN 1d0 OAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE �ILIGENTLY PURSIIEU TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORH ON THIS PROJECT OVER 90 UAVS DURATION.