2115 74TH ST SE 2018-01-02 MF Import

ration For PUBLIC RKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett. WA 98201 259.8810 TY?E OR PRINT ONLY Date Public Works Permit 0 Building Permit a _ Public Works Fee E _ Ownar Plan Check No: C 55220 SEPA 1%PPlicai-i Date: O5(21/Cr7 JJob Aildree0 21 5 4TH ST SE Owner: PETERSEN MARK Applicant Tenant: Proposed Use: SINGLE FAMILY RESIDENCE Deec. of Work: Describe Proposed Work _ BEDROOM/BOTH/LAUNDRY ADDITION OFFICE SET JOB SET APPROVED FOR PERMIT: DATE_/_/_ BY PROJECT ADDRESS (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: Ph7ne Phole *Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indicate North 'Show any proposed grading changes •Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. All calls for inspection shall be m?de 24 hours in advance - phone 259-8810. 2. Ail 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. i, xn Approved IorConstruclion Daie FINAL INSPECTION Date Approved as Constructed W U) W O ACKNOWLEDGEMcNT 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 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 same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1 so DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.