4804 VESPER DR 2016-01-01 MF Import

,� Pueim warks Permil• Date 1-12-93 B,a9 0�0, • 39232 qpplication For PUBLIC WORKS PERMIT PublicWorksFoe s To�ai Fee �ass ApO�Fea PaiE s Balence Oue S Print or Type Only Corey Brandsma 4804 Vesper Dr Everett 98201 252-6793 ZIP phone Owner Mailing Address City , pwner �,�Y Z�p Phone Applicant Mailin�Address Describe Proposed Work new garage W 4804 Vesver Dr � Prolect Address(il known) _ � Attach four(4)copies ol plans for proposed work- Draw lo scale and note�Ce^�1eWine ot stree� able: � • Properry Lines • Indicate Nor�h • Outline and dimensions of all existing and � Show any proposed grading changes proposed s�ructures on the lot � Show measurements � • Ezisting and proposed utilities DO NOT WRITF BELOW THIS LINE O PERMIT CONDITIONS � 1.All calls for inspection shell be made 24 hrs.in advance•phone 259•8810. 2.All work shnll be performed in accordance with Ihis permit and current City of Everett Uesign and Construction Standards and Specifications. � 3.:%all Locetion Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1-800�424•5555. O rue N�o wREou1R�0�1F � � ev ' - - O OATE / 22 _ f�_, a ACK�OWLEDGEMENT OF CONDITIONS 7he undersigned owner/applicaM hereby agrees to hold and save harm� less the Ciry of Everell (rom any and all claims for damages, costs. expenses, or causes ol action that may arise because of installation and maintenance of the improvement or other right-o4way use hereto . applied tor and tur�her agrees to remove same upon notice irom ihe Approved for Construction Date City and to replace public property damag�d thereby. Date Date FINAL INSPECTION Signature ol Applicant Approved ac Consirucled WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO �� 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE EvPrett,WA 98207 CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WORK OtJ THIS i�hone:259�8810 PROJECT OVER 90 DAYS DURATION.