2208 61ST ST SE 2016-01-01 MF Import

N 5 • 28 -5 Date 11-22-93 i TO POSTING �___ It Public Work,Perrin Application For Bldg Deer •_f+97g—C 9 ' PUBLIC WORKS PERMIT Pubic vifee T.1.1 ree s — - - Lee,Al fav Paid s Print or Type Only Balance Dun s 2�a — i Lyle Blank PO Box 2266 Everett WA 98203 355-4725 mobile 339-8092 Owner Maiing Atldress City Zip Phone same Applicant Mailing AddressGtv ZIP Phone Describe Proposed Work new house Project Address(if known) C� SE Uj Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes ch • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1.All calls for Inspection shall be made 24 hrs.In advance-phone 259.8810. 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction i Standards and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800-424.5555. z f o 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. expenses. or causes of action that may arise because of installation 2-13A3 and maintenance of the improvement or other right-of-way use hereto Approved for Co ur.lio applied for and further agrees to remove same upon notice from the Date City and to replace public property damaged thereby. I FINAL INSPECTION Date � -- Approved as Constructer) lure of Applicant Dale AM PUBLIC WORKS DEPARTMENT TsO K AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN %L 3200 Cedar Street DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:2598810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.