1510 81ST PL SE 2018-01-02 MF Import

Date 8/23/93 Application For PUBLIC WORKS PERMIT Print or Type Only zr. POSTING All 96 Public Works Pal93 Bldg Door a 4169 Public Woraa Fee a Told Fee Less appl Fee Paid 5 �� Balance Due S �U OOz - z?225 'r11.W / Wold Chris S Leanne 1510 81st P1 SE Everett 98203 347-0756 Owner Mailing Address City Zip Phone Owner Applicant Mailing Address City Zip Phone Describe Proposed Work Addition/Remodel - SFR Project Address lit known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: I' of street Approved • Property Linos 49 Outline and a;mensions of all existing and •Canter me 0 ndicate North proposed structures the lot Show any proposed grading changes d • Existing and p'oposeutilities 0 Show measurements 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 and Construction Standards and Specifications. 3. Call Location Underground Service 48 lira. before you dig. TOLL FREE NUMBER 1.800.424.5555. MWIMMERMEMIMMA Date Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett. WA 98201 Phone: 259-8810 ACKNOWLEDGEMENT OF CONDITIONS M li z O O a The undersigned owner/applicant hereby agrees to hold and save harm. less Inc 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 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.