2702 59TH ST SW 2016-01-01 MF Import

`./ ditetlon For PUBLIC WORKS PERMIT Date PUBLIC WORKS DEPARTMENT Public Works Permit M 3200 Cedar Street Everett,WA 98201 259-8810 Building Permit M TYPE OR PRINT ONLY Public Works Fee E Owner Plan check No: C 50883 SEPA Phone Applicat.Date: 02/14/96 JJob Address: 27 2 59TH ST SW Owner: KOEWLER THOMAS Applicant Tenant: Phone Proposed Use: SINGLE FAMILY RESIDENCE Desc. of Work: Describe Proposed Work _ ADDITION W OFFICE SET JOB SET H APPROVED FOR PERMIT: DATE PROJECT ADDRESS(if known) Attach four(4)copies of plans for proposed work-Drew to scale and note the following If applicable: O r •Property Unes 'outfine and dimensions of all existing and proposed structures on the lot 'FAsting and proposed utilities 'Centerllno of street •Indicate North *Show any proposed grading changes •Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: Z 1.All calls for Inspection shall be made 24 hours in advance-phone 259-8810. O 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. V♦ O r1I101-I0 WORKS PEPMII NO I', 5EQUI aY ACKNOWLEDGEM'cNT 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 Approved for Construction Dale causes of action that may arise because of Installation and maintenance of APP the Improvement or other right-of-way use hereto applied for and further agrees to remove same upon gotice from the City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed 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.