Laserfiche WebLink
rt, <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department . <br />3200 dQar Street u5-iEu-2011WED) <br />Everettuk-WA. 98201 REG1 <br />(425) 257-8810 <br />PERM ! N s. 1i f)r 003 <br />OWNER NAME AND ADDRESS: <br />KNYPSTRA, STEVEN & KERRY <br />10620 WASHINGTON WY <br />EVERETT WA 98204 <br />Date: 4/4/2011 <br />Public Works Permit* PW1104-003 <br />1�,oiu Buildinq Permit #; <br />..jbhninq Reference #: <br />C. 4 1 <br />Public Works Fee $: $$ 45.00 <br />Other $: ell', <br />Yx/4 <br />ff - APPLIgq&,i t,Tj;NAME AND ADDRESS: <br />1 IlfEi' TRI'COt1MTJY L.S. COMPANY <br />IL i .L- 4�f6'-200t9 S..W SUITE A <br />LYNA 06& WA 98036 <br />PHONE: I PHONE: 4257762926 1 <br />TAX PARCEL ID # 00552300400703 1 SITE ADDRESS: 10620 WASHINGTON WY <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT 1202-08-008 <br />(4/4/2011 2:50 PM BES) <br />NEW 3/4 INCH WATER SERVICE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. CONSTRUCT PER APPROVED SHORT PLAT DRAWING. <br />Constru <br />FINAL INSPECTION Date <br />Approved as Constructed <br />w <br />N <br />i-� <br />0 <br />h <br />0 <br />E-4 <br />Cn <br />C) <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />Vpublicproerty damaged thereby. <br />Signature of Appl nt Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />0 <br />