3024 WETMORE AVE 2018-01-02 MF Import

Date�41 Anplicallen Fol PUBLIC WORKS PERMIT Print or Type Only Applicant Describe Proposed Work Address Address City LIP Zip Public Works Permd Bldg Beet • - Public Works Fee g, rorsl Fee Less Adel Fee Paid S Balance Due S Project Address lit known) E�(.' �- Attach four (4) copies of plans for proposed work • Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Show anNorth y proposed grading changes proposed structures on the lot • Show measurements • Existing and proposed utilities PERMIT CONDITIONS 1. All calls for inspection shall be made 24 his. 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. B. Call Location Underground Service 48 11rs. before you dig. TOLL FREE NUMBER 1-800.424.5555. o� , for Construction FINAL INSPECTION Approved as Constructed L t PUBLIC WORKS DEPARTMENT Ever tt,WACedaStreet Everett, WA 90201 Phone: 259-8810 ate ACKNOWLEDGEMENT OF CONDITIONS CA M 0 Ill 0 H 0 a The undersigned owner/applicant hereby agrees to hold and save harm- less 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 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.