201 80TH PL SW 2016-01-01 MF Import

Application FV 2 -2621- PUBLIC 261PUBLIC WORKS PERMIT Date 4/24/96 //��___ 1PLIC WORKS DE RTMENT Public Works Permit 0 t V'/ ' lX ✓ TO POSTING 3200 CedarSlllsssset Fn E rMt,WA 98201 59.8810 Building Permit M 51 S7 4 10 199' 8u38 g � g � TYPE OR PRINT ONLY x U9 8 8 F5 N lurks Fee .� JOHN DUNKINSON 8008 UPPER RID 9h21 e 1e6�5 Owner Malting Address c .. tn��+p Phom — LES DEAN (BENCHMARK GUILD) Al 912itill Applicant Mailing Address - City Zip Phone Describe Propoaed Work —CHEW HOUSE - BASIC 1185 W PROJECT ADDRESS(if known) 4� T�� 5[�� 1nT 9 $RORT PIAT 9-95 Attach lour(4)copies of plans for proposed work-Draw to scale and note the following if applicable: 'property Linee 'Outline and dimensions of all existing and proposed structures on the lot tExisting and proposed utilities O •Centerline 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. 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. r 4 . A 5 f;rr pvbl,c works .`,prcvec.( Plt-.h dafed 5��/GG Cl) / / O a ACKNOWLEDGEMENT OF CONDITIONS C/ The undersigned ownerrapplicant hereby agrees to hold and save harmless J�' the City of Everett from any and all claims for damages,costs, en or proved for ructl/dp/�' I� Date causes of action that may arise because of Installation and maintenance of Allthe linprovement orother 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. FIFI L INSP C�� ' Date Approved as Constructed 91 Signa of AppBdant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PER IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF OR ON THIS PROJECT OVER 90 DAYS DURATION.