1505 112TH ST SW 2018-01-02 MF Import

Date--_11_20-92 wfx+ww.. w,.a.7 oftow. 38662 _ Application For PUBLIC WORKS PERMIT Pu°a; „`- ew.c. o•. s Print or Type Only Vehicle Testing Technology Inc. 1715 ll4th SE Bellevue 98004-6906 451-3847 Owner Malang Address City Zip Phone Lance Mueller 6 Assoc/Arch 130 Lakeside Suite 250 Seattle 98122 325-2553 Ed Minshull APPIKant Meiling Address City Zip Phone Describe Proposed Work _ new building 3500 of Project Address (it known) 1503 SW 112th St SE SEPA /36-92 _ Attach lour 44) copies of plans for proposed work - Draw to scale and note the fallowing as applicable • Property Lines a Centerline of street B Outline and dimensions of all existing and • Indicate North proposed structures on the lot at Show any proposed grading changes e Existing and proposed utilities a Show measurements PERMIT CONDITIONS I. NI cane for inspection $hall be made 24 his in advance - phone 25"810. 2. All work shall be performed In accordance with this permit and current City of Everett Design end Construction Standards and Specifications 3. Cell Location Underground Service 48 hrt before you dip. TOLL FREE NUMBER 1.800-424.5555. </ Pr l/-1/-93 ACKNOWLEDGEMENT OF CONDITIONS Z O 0) 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. costa expenses. of causes of sclion that may arise because of Installation and maintenance of the imprpyement Or Other righbObWay use hereto applied lot and further agrees to remove acme upon notice from the City and to replace public properly damaged thereby z- Bignalure of Appr ant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN ISO 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