Laserfiche WebLink
`{ PUBLICO'ORKS PERMIT Data 10/20/2015 <br /> Public Works Permit#. PW1510-035 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1510-006 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 40.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> VANDERWILT BRENT OWNER <br /> 5112 DELAWARE AVE <br /> EVERETT WA 98203-3312 <br /> PHONE: 2067188868 PHONE: <br /> TAX PARCEL ID# 00410200009100 SITE ADDRESS: 5112 DELAWARE AVE <br /> CLAREMONT HEIGHTS BLK 000 D-00 <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. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to <br /> beginning the project. Call Randy Allen at 425-339-7403. See attached to request an inspection. I-1 <br /> 5. It is the applicant/owner's responsibility to ensure that storm water runoff from new impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's Right-of-way <br /> and improvements located therein. O <br /> Public Works Permit Fee Breakdown: <br /> ---PW plan review (EST) $20.00 <br /> ---PW Site inspection (EST) $20.00 <br /> 0 <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 /> ed Cons Date to remove same upon notice from the City and to replace <br /> public property damaged thereby. <br /> NAL INS CTION Date <br /> Approved as Constructed Signature of Applicant 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 /> � I� <br />