26 FERN RD 2016-01-01 MF Import - Laserfiche WebLink

Oate 7/6/92 � Applicetion For PUBLIC WORKS PERMIT Print or Type Only Pu01¢ Work� p�rmi� • 1 eua o.o� . 37272 I wei<won.r.� s ,a,.��.. L.u�oo� fn>ua E Ie.i.��.o�� 3_ Mervin Saundese 26 Fem �r r ct 98201 7G5-1A60 Ownar MaiNngAtltlress Cily Zip Phone Ap0licenl MailingAtlCre95 City Zip PhOne Descriee Proposnd work �OOef 2 Proiect Aaaress lif knownl Attach lour (4� copies ol plans lor proposed work � Draw lo scale anC note t�e lollowing as applicable: • Property LinaS • Cen�etline ol SIreeI • Outline antl tlimensions ol all eaisting and • Indicate Nort� proposeC struc�ures on t�e lol • Show any propoSeG grading changes • Eaistin9 an0 proposed u�ililies • Show measurements PERMIT CONOITIONS 1. All calls for inspection shell be made 24 �rs. in advance- phone 259-8810. 2. All work shall be pedormed in ecwrdance wi�h Ihis permit end curtent Ciry of Everett Design end Consimctlon SlanEerda entl Specilications. 3. Call Location UnOergiaund Service 48 hrs before you dig. TOLL FXEE NUMBER 1•800•424•5555. �U�,c Cc.��'zi='� '-� vic..l /�/,:Y �'1r�oc� '+.-.,{J � � _�L �� 7 7-sz Approvetl br Constmclion FINAL INSPECTION P.pprovetl as Conslmctetl �PUBLICWORKSOEPAflTMENT 3200 Ceder Streot Everet�. WA 98401 P�one:259�8810 ACKNUWLEOGEMENT OF CONDITIONS � O '�A V+ � a TOe unCersignetl owneqapPlicant hereby aBrees to ho10 and save �arm� less ihe Cily ol Everell Irom any anE all claims lor Oamages, wsis, eepenses. or causes of aclion t�at may arise because ol inslallation and maintena�ce of Ihe improvement or other righ4ol-way use M1ereto app��etl br an0 lurlher agrees �o remove same upon nolice Imm �he City antl Io re��ace publiC pwPerry damaBBC I�ereby. Signature ol Applicant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STAFTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE CANCELLED BV THE CITY UPON ANV STOPPACaE OF WORK ON TMIS PROJECT OVER 90 DAYS DURATION.