2 74TH ST SW 2018-01-02 MF Import

Date lO 21 91 Application Fo, PUBLIC WORKS PERMIT Print or Type Only 0011N Pubbe Work%Pe.mx a -. Bldg Cent. a 91/27990 _ PPbbc Works Fee Q TOW Fee — LenAPPI fee Paid • Balance Due fi Jim & Susan Rogers 2 - 74th St SW Everett, WA 98203 79)0hXDD?iQC 353-3912 Owner Mallinq Address City Zip Phone COHO Conat. 616 Laurel Dr. Everett, WA 98201 259-1311 (Car 4339-7572) Applicant Mailing Address City Zip Phone Describe Proposed Work ranatruct new aargge - — Project Address (if known) 2 - 74th St SW _ Attach lour (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 • Existing and proposed utilities • Show measurements Coii r_ CI DO NOT WRITE BELOW THIS LINE o ' PERMIT CONDITIONS I.All calls for Inspection shell be made 24 fire. In advance- phone 259.8810. 2. All work shell be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Cell Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1.800.424.5555. Z I"" O an ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harr., less 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 lot and further agrees to remove same upon notice from the Approved for Construction Date (.ty and to replace public property damaged thereby. FINAL INSPECTION Approved as Constructed Dale Signature of Applicant Date PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY Bf BE Everett. WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI!, Phone: 259-a810 PROJECT OVER 90 DAYS DURATION.