1815 WETMORE AVE 2016-01-01 MF Import

�ete ll�le�91 PUErc Wo�b ParmM s —_ BmaDem.• 91/28133 qpplication For PUBLIC WORKS PERMIT �oToteFeeFee s Leu�p0�Fee PaiE s Bel�nte Due f Print or Type Only elda 1815 Wet�ore Everett WA 96201 339-9127 �,�� MaiNng Address Ciry Zip Phone Beauvais Const. 9431 Newburg Rd Snohomish 98290 334-0954 Applicant Meiling AdOtess City ZiD Phone DetcribePropoeedWork 72a f �.7A1fi s ��rnh r� c��p_fBID�,l,y 1Annr W Projecl AOErese(it known) 1815 Weffiore Ave � Attach fow(4)copies of plene tor proposed work•Drew to scale anA note lhe following as applicable: � • P�operty Lines • Centerline of street � • Ouftine end dimensions of all eaisling and • Indicate North proposed atrutturee on the lot • Show eny proposed grading changes • ERiating end propoeed ufilities � Show meesurements M W DO NOT WRITE BELOW THIS LINE O PERMIT CANDITIONS � t.M�al�s tor�nspect�on she��be mede^<4 hre.in edvence•phone 25�8810. 2.All work ahall be peAormed in accordance with thie permfl end current City of Everett Deeipn end Conatrucllon Stendards and Specificetlone. � 3.Cell Locetion Undertiround 3ervice 4B hrn.betore you dig.TOLL FREE NUMSER 1-800�424Sb55. /�v6,C�e c�ot/� ��••-�:�` /U"'�'�-'c�.oP O 71� ~ ///9 9/ � � a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everetl irom any and �II claims for damages, cosis, expenses, or causes of action that may arise beceuse ol instelletlon and maintenance of the improvement or other right-of•way use hereto applied for and further agrees to remove same upon notice from the . Approved for Construction �a�e City and to replace public property damar�ed thereby. FINAI INSPECTION �a�e Date Approved as Constructetl Signature of Applicant WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN � PUBLIC WORKS D[PARTMENT 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STUPPAGE OF WORK ON THIS Phone:259•8810 PROJECT OVER 90 DAYS DURATION. � j V