6708 WETMORE AVE 2016-01-01 MF Import

� -Ca-Zb"5 Date 4-14-92 Appiication For PUBLIC WORKS PERMIT Print or Type Only �'n nncr�NG � 9 z i45 � Pu01¢ Warkf Permil q•�� '�� /� BIOp Dept � �y Pueec worxa Fee : TotalFea Less �up�� Fee PnU s B�IanceDue s �� Ken IicCalliater Conat PO Sox 3406 Everett 98203 348-3839 Owner Mailing Adtlress City Zip Phone Owner Applican; Describe Proposed Work Proiect Address (il known) 6708 I;. CitY Zip Attach four �4) copies of plans for proposed work - Draw to scale and note the following as appficable: • Property Lines • Outline and tlimensions of all existing and propo5ed StruCtures on the lot • Existing and proposed utilit:es • C=nterline of streef • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. All cal�s for Inapection shall be mede 24 hrs. in edvance • phone 259��10. 2. Ail work ahell be peAormed in accordance with this permit and current City of Everett Deaign and Construction Standards and Specfflcations. 3. Cell Location Unde�ground Service 4B hrs. before you dig. TOLL FREE NUMBFR 1•80Q-4i4•55SS. � Approved lar r�nn� irvsrtc i ic7nl Approvetl as Construc�ed �PUBLIC WONKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259�8810 S=/- 9Z Date /�' `/�- 7�' � Date ACKNOWLEDGEMENT OF CONDITIONS W � � The undersigned cwnr.r/applicant hereby agrees to hold and save harm- less the City of Evere�t irom any and all claims for damages, costs, ezpenses, or causes of action that may arise because of installation and maintenance oi the improvement or other right-of�way use hereto applied br and further aorees to remove same upon notice irom ihe City antl �o replace publi5 property damaged thereby. Sign ture ot ApplicaM ` Dale WO K AUTHORIZED BY THIS PERMIT MIIST BE STARTED WITHIN 780 AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE ILIGENTLY PURSUED TO COMPLETION. TNIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPP�G OF WOFK ON THIS PROJECT OVER 90 DAYS DURATION.