6412 WETMORE AVE 2016-01-01 MF Import

�� TYPE OR PRINT ONLY Owner Applicant � ^ plication For PUBLIC WORKS PERMIT Describe Proposed Work _ PROJECTADDRESS (if known) PUBLIC WORKS DEPAFiTME�1T 3200 Cedar Street Evereq, WA 98207 259-BE 10 Plan Check No: B 53933 Applicat.Date: O1/14/97 Job Addrese: 64Y2 47ETMORE AVE Owner: MLRPHY FRED Tenant: Propoeed Uee: SFR/GARAGE Deec. of Work: POLE BUILDING OFFICE SET JOB SET Date Public Works Permit g Building Pertnit k _ Public Works Fee $ _ SEPA APPROVED FOR PERMIT: DATE_/_/_ BY Phone Phone Attach (our (4) copies of plans for pmposed work • Draw to scaie and note the following if applicable: •Property Lines •Outline and dlmensions of all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indiwte North •Show any proposed gr�ding chanqes •Show measuremenis uU NU I wH1+E BELOW THIS LINE PERMIT CONDITIONS: 1. AII calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be Ferformed in accnrdance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. i�� -PU'�I z �'ks P��, -� ��,r� Appmved for ConslrucLon Date FINAL INSPECTION Date Approved as Constmcted � O ��/� V♦ O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett irom any and all claims tor damages, costs, expenses, or causes of aclion that may anse because ol installation and maintenance of the improvement or other right-of-w�y use hereto applied for and further agrees to remove same upon notice Irom the Ciry and to replace p�blic property damaged therehy. Signature of Applicart WORK AUTHORIZ[D BY THIS PERMIT MUST BE STARfED WITHIN 180 DAYS OP DATE PERA9IT 1S ISSUED AND THERGFf[R IS TO BE DILIGENTLY PURSUED TO COMPLETION. THiS PEHMIT MAY OE CA4CELLEO BY THE CITV UPON ANY ST� )PPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.