2931 BROADWAY 2022-04-04 - Laserfiche WebLink

PUBLIC I O R KS PERMIT •DateApplied: 7/5/2019 City of Everett Permit Services Public Works Permit#: PW1907-011 EVERETT 3200 Cedar Street, 2 n0 Floor Associated Bldg Permit#: Everett, WA 98201 Planning Reference#: WASHINGTON 425-257-8810 Public Works Fee: $45 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: { JONES JEREMY D BARGREEN HOWIE 0 JUL 20 9 12918 MUKILTEO SPEEDWAY STE C2 2821 RUCKER AVE LYNNWOOD,WA,98087 EVERETT,WA,98201 PHONE: PHONE:4252609336 TAX PARCEL ID#:00439068800500 SITE ADDRESS:2931 BROADWAY %)!'• DESCRIPTION:SOIL SAMPLES AROUND STORAGE TANK THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES 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 for Development'. 3. Call Location Underground Service 48 hours before you dig.The day you call does not count.TOLL FREE NUMBER 811. 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 07/05/2019.Approved plans must remain on job-site at all times. 5. Keep City streets clean at all times. No dirt, mud, rocks,or debris to be tracked onto roadway. 6. Protect all existing underground utilities during construction. .mil n-1 I- F- 17.4 c a Public Works Permit Fee Breakdown: Misc. Minor Permits(Drainage Work) $25.00 PW Site Inspection $20.00 NO FINAL APPROVAL 1 C 1 MAR 2 9 2022 ARCHIVED •e3•t~ «ra••ram •...: " -4 rTta�n ram. G*1 City of Everett Official Use Only 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 zit,/9 causes of action that may arise because of installation and maintenance of proved for Construction (Public Works) Dare the improvement or other right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby.FINAL INSPECTION Date w Z _S~ / `Q Approved as Constructed (PW Inspector) Signature f 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 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE.