1201 23RD ST 2017-01-13 - Laserfiche WebLink

PUBLIC WORKS PERMIT City of Everett Public Works Department �,�� -,�� 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Date: Public Works Permit # Buildinq Permit #; Planning Reference #: 7/17/2013 PW1307-009 Public Works Fee $: $ 20.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: CITY OF EVERETT IMAC INC 802 E MUKILTEO BLVD SPENCER DONALDSON Everett Wq 98203-21 MOUNT Wq 98273-9 00 PHONE��.N 3604247013 016 PHONE: 4252448182 TAX PARCEL ID # SITE ADDRESS: 1201 23RD ST DESCRIPTION OF PROPOSED WORK: STORMWATER SYSTEM-BAYSIDE PARK 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 � 4. Plans approved for stormwater system only. Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections. Approved for Con FINAL INSPECTION Approved as Constructed � �� Date Date 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 property damaged thereby. � � , � �--� - t Signature of 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 PROJECi� OVER 90 DAYS DURATION. � � _� � . � L- (.�-