1317 63RD ST SE 2018-01-02 MF Import

Date 5/1/95 Application For PUBLIC WORKS PERMIT l Print or Type Only TO POSTING 2-7-9a, s BACKUES BRETT 6 KAYLEEN 1317 63RD ST SE Describe Proposed Work Mailing AddresS NEW CARPORT/STORAGE Project Address lit known) 1317 63RD ST SE Attach four 14) copies of plans for proposed work - Draw to scale a,td note e follow ng as sop Centerline of streetcable: • Property Lines •Indicate North • Outline and dimens;ons of all existing and •Show any proposed grading changes proposed structures the lot • Show measurements • Existing and proposedd utilities r'r fJ' �� O 't CJ 9J1JE7TTN 98203 uy 3 W 8?REs6 Public Worha Parmu z Bide Deer- • - Publ,t Works Fee i Total Fee Loa APPr Fee Paid f{ Balance Due 353-0610 Zip vnone PERMIT CONDITIONS 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 end Construction Standards and Specifications. 3. Call Location Underground Service 48 fire. before you dig. TOLL FREE NUMBER 1.800.424.5555. 5_01%S Approved for Date Approved as Constructed PUBLIC WORKS DEPARTMENT 19L 3200 Cedar Street Everett. WA 98201 Phone:259.8810 r W Ion z O ACKNOWLEDGEMENT OF CONDITIONS undersignedThe owner/applicant o d and save harm - ass the City of Everett from any and all claimsfood damages. costs. expenses. or causes of action that may arise because of Installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove some upon notice from the City and to replace public property damaged thereby. Date Signature of pplicent 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.