505 WETMORE AVE 2016-01-01 MF Import

"� TrPE C„'rRINT ONLY Owner Applicant iliutbn For PUBLIC VCJRKS PERMIT Describe Froposed Work _ PROJECT ADDRESS (if known) PUBLIC WORKS DEPAfiTMENT 3200 Cedar Straet Everen, WA9B201 25�-8810 Dat� Public Wake Pr. mfl !t Building Partnit M Publk Nbrks Fee S Plpan Ch�ck Nos C 5/582/3 SBPA ApJobcAddre��: 505�fi�TMOHL AVE Owner: BURTON FIILLIAN/AMY Tenent: Proposed U�es SINGL& F1IMILY RBSIDENCE De�c. of Works SECOND STORY 1►DDN OPFIC6 S6T JOB 8BT APPROVED t"OR PERNITt Dl1T8_/_/_ BY_ Attach four (4) copies o1 plans tor proposed work - Draw to scale and note the tollowing M appl�ceble: •Proparty LL;as butline and dimenslons of all ezisting and proposed structurea on the bt '6cistinp end proposed utllMbs °Centerline of street •Indicate North 5how any proposed graEing changes 5how rtroasurementa PERMIT CONDITIOhS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this pertnit and current City of Everett Design and Construction Standard^ and Specifications. �. Call Location Underground Service 48 hrs. betore you dig. TOLI FREE NUMBER 1-800-424-b666. Approved lor Consiruction Date FINAL INSPECTION Date Approved as Constructed �UBLIC WpRKt �ERMI. �'Ot EOUIREA ay � nTE ____ �,--� �1� ACKNOWLEDGEMENT OF CONDITiONS The undersigned owner/applicant hereby agrees to hold and sava hartnless ihe City of Everatt Irom any and ail claims /a damages, rnsts, expanses, a causes o1 actfon that may arise becausa ot Inslallation und maintenance of the improvement or other right-of-way use harato appAed fa and further egrees to remove same upon notice from the City and to �ep�ace public prvperty damegad thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF �ATE PERMR IS ISSUED ANO THEREAFTER IS TO BE DILIGENTLY PURSUED T(� COMPLETION. THIS PERMIT MAY BE CANCELL[D BY THE CI7Y UPON ANY STOPPAGt OF WORK ON THIS PRQIECT OVER 90 DAYS WRATION.