5110 S 4TH AVE 2024-02-27 - Laserfiche WebLink

PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 00 (425) 257L88&10 P c N G p't�' , � C.eae�d OWNER NAME Brian P . Thaete I APPLICANT NAME AND ADDRESS: 13111 — 13 Fi th Ave NE AND ADDRESS: KIRKLAND WA 98034 PHONE: ( 425) 820-2354 PHONE: Date 7/19/2001 Public Works Permit # PW0107-020 Building Permit # Planning Reference # Public Works Fee $ Guarantee $ TAX PARCEL I.D. # PROJECT ADDRESS: b 110 S . 4 th Ave DESCRIPTIONOF Install Culvert for new driveway PROPOSED WORK: PW PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 4. New culvert shall be N-12 or equal. Call 425-339-7403 for inspection prior to covering pipe. 5. Keep city streets clean at all times during construction. (v • �ee Zi-VA&l i cci P (74✓1 idA Le,,!� 7 -1 cf -O 1 . A,& M 7 l qi o Approved for ,dnstruc' Date' -® rINACINS15ECTION Approved as Constructed Date $25.00 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 to remove same upon notice from the City and to replace public propert da aged th reby. a /9 fa/ Signature of Applicant Date Uj 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.