5131 DOGWOOD DR 2016-08-19 - Laserfiche WebLink

PUBLIC O RKS PERMIT • Date: 5/26/2015 Public Works Permit#: PW1505-041 City of Everett Public Works Department 3200 Cedar Street Building Permit#; B1505-063 Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee $: $ 25.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: KIRKENDALL KIM 18017 72ND AVE W EDMONDS WA 98026 PHONE: PHONE: TAX PARCEL ID# 00442200000100 SITE ADDRESS: 5131 DOGWOOD DR DESCRIPTION OF PROPOSED WORK: REPAVE DRIVEWAY 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 hrs before you dig. TOLL FREE NUMBER 811 ama C—irTJ rxacc�� , t•'-i L�I--'7 � v1 m n r �n rn ti J iT•. TI w 1 I L-I} rl.-," UTI --..1 P P�.,C�Efi�UTI Ti'M Uri ':_n s':Cc'-471 Co --q f.e :a_7� Ui 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 5A6l/ J or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace Approved for Construction Date public property damaged thereby FINAL INSPECTION Date Approved as Constructed ignat e 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. ti'( e