2107 LOMBARD AVE 2022-02-18 - Laserfiche WebLink

PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 (425) 257-8810 OWNER NAME APPLICANT NAME AND ADDRESS: j j'pAT_T 1 `INIDES f JE? ZdI •r AND ADDRESS: 2107 Lnh'L ARD EVEFETT WA 98201 PHONE: G c PHONE: TAX PARCEL I.D.# 43 PROJECTADDRESS: DESCRIPTION OF PROPOSED WORK: RAISE HbUSE d FINISH BASEMEN' PERMIT CONDITIONS Date /13/21006 Public Works Permit # T N0 F 0 Q— 01 3 Building Permit# C0608-03�4 Planning Reference # Public Works Fee $ $25 .00 Guarantee $ 1. All calls for inspection shall be made 24 hours in advance. 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 4. Replace any broken sidewalk along th;-- property frontage as directed by the Publi_ Works inspector YOUR INSPECTOR FOR THIS PERFUT _S RANDY ALLEN, 425-339-7403 10 POS�iNG App j or onstruction ate FINAL IN.SPE N Approved as Constructed Date }4m I I ACKNOWLEDGEMENT 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 they by. Signature of Applicant Date Tr 7 U) M 0 z 0 0 0 a 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. EPWP (7/06) DATABAR, INC.