832 52ND ST SE 2017-01-13 - Laserfiche WebLink

PUBLIC WORKS PERMIT Ev PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett. WA 98201 (425) 257-8810 OWNERNAME '"�'-'�'=�•' =`=":w:' AND ADDRESS: ;�.;,_ n::'QL% ,. _—_ : ��'�- E"v'EFtE'I"Y' >i�': . _. _. PHONE: -.. ..::��i=��;�^. TAX PARCEL I.D. H DESCRIPTION OF PROPOSED WORK: PERMIT CONDITIONS APPLICANT NAME AND ADDRESS: PHONE: Date Public Works Permit # Building Permit # Planning Reference # Public Works Fee $ Guarantee $ PROJECT ADDRESS: ; . t. ' _: ��i ! :. __ _.. � � ;�. � �. .i'. - .' -e.�. 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 _. ��,:,�: ;_� ��.r�,:��_ ,�_.�s:s �r;,.��_-�s. . ;,T _.��- _. �_ . -_ . _��_ . __- .. .�A_ � .,�-= r. _ .. -. -,Fr��t�7i'';'� r�'.°?Y':i`I`.�:.E.�;�T`:, .'it.. �L T� '"•�T-' L�L-:�'+ N, S �� — r s t, .. . j'�.L'1°s.0 _11 .. J�.1�i�S ��.�.�.'Stti ;-\1� .�t J..� �.�_'��.' L��k�.114'�._� _ . ..� ..., . _ _.._ , ... (� .�yjj�X �, r D7� - Z p r ACKNOWLEDGEMENT OF CONDITIONS W � �I � m O � Z O � � O a 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 rem s upon notice from the City and to replace public p r ag e _/ �Q � i e Da 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.