4418 RUCKER AVE MEDICAL BLDG 2018-01-02 MF Import

PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257.8810 Date: 0811812008 Public Works Permit #: ' W0808-018 Buildinq Permit #; B0801-027 Planninq Reference #: Public Works Fee S: $ 0.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: SCHMIDT INVESTMENT GROUP PO BOX 2555 EVERETT WA 98213 PHONE: 4252581969 PHONE: TAX PARCEL ID # 00407EO0603300 SITE ADDRESS: 4418 RUCKER AVE DESCRIPTION OF PROPOSED WORK: ROAD CLOSURE FOR 4" WATER LINE CROSSING LOTS 33-38 CENTRAL PARK ADDN PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 firs before you dig. TOLL FREE NUMBER 811 F-- 4. Road closure to be done per attached plan reviewed by Traffic Dept, 5. This permit for closures on B-19-08, B-20-08 & 6-21-08. SSUEDAUG 1 8 2008 C11pern it Scl Cccs11 Ap r or Co struction Date �C -- /Z -d=o4�1 r`NAL INSPECTION Date Approved as'/Constructed ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant herebv agrees to hold and save harmless 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. 4 /�— 6&88 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.