1610 SE EVERETT MALL WAY 2020-05-18

PUBLIC WORKS PERMIT Date: 6/19/2013 Public Works Permit#: PW1306-022 City of Everett Public Works Department 3200 Cedar Street Building Permit#; Everett, WA 98201 (425)257-8810 Planning Reference#: Public Works Fee$: $ 5,151.38 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: ANTHEM SELF STORAGE (EM) LL PONTAK JAMES 8115 BROADWAY STE 204 8115 BROADWAY EVERETT WA 98203 EVERETT WA 98203 PHONE: PHONE: 2062954869 TAX PARCEL ID# 28051800400300 SITE ADDRESS: 1610 SE EVERETT MALL WAY DESCRIPTION OF PROPOSED WORK: WATER MAIN EXTENSION-ANTHEM SELF STORAGE / PERMIT CONDITIONS 1. All calls for inspection shall be made 24 ho rs in advance: 2. All work shall be performed in accordanc with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 rs before you dig. TOLL FREE NUMBER 811 4. Per approved plans dated 6.17.13. / 5. Notify all property owners affected y the construction prior to beginning work. Your Public Works Inspector is Cli indman. Call him at 425-339-7404 for questions and inspections hEmo O z O can O ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby 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 ..-4<ae d /_ 3 to remove same upon notice from the City and to replace pproved for onstruction Date public property damaged thereby. FINAL INSPECTION Date Approved as Constructed 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. k:,‘auaci 3 L LE