3717 ROCKEFELLER AVE 2017-01-13 - Laserfiche WebLink

PUBLIC WORKS PERMIT Date: Public Works Permit #: City of Everett Public Works Department �� -� 3200 Cedar Street Buildinq Permit #; � '��'r Everett, WA 98201 Planninq Reference #: (425) 257-8810 Public Works Fee $: Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: CROSSMAN J R 15408 MAIN ST UNIT 401 MILL CREEK Wq 98012 PHONE: TAX PARCEL ID # 00438192300800 DESCRIPTION OF PROPOSED WORK: REPLACE SIDEWALK SQUARES PHONE: 4/21 /2015 PW1504-044 $ 25.00 SITE ADDRESS: 3717 ROCKEFELLER AVE 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. Replace sidewalk like for like. 5. Contact Public Works Inspector is Randy Allen prior to pour at 425-339-7403. � �� ,� � � 2 / - /S App oved for Construction Date FINAL INSPECTION Date Approved as Constructed w � � � � O � � 0 � � 0 a 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. - �(," � � � ,'j/� �/ � � �� J Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFI ER IS TO BE DILIGENTLY PURSUED TO COMPLET-ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.