2316 12TH ST 2017-07-11 - Laserfiche WebLink

P�B�.��r ��►�� ►�'� City pf Ever�#t Public Works Departm�nt 3200 Cedar Street �veret#, WA 98201 (42�) 257-8810 � Date: $/19/2014 Public Wo�ks Permit #: PW1408-015 Building Permit #; B1408-026 F'lanning Reference #: �ublic Work� Fe� $: $ 4Q.00 Other �: OWNER NAME AND ADDRESS: APPLIGANT NAME AND ADDRESS: ��Ya CLUB� QF SN�H CfJ-�1/� PO B(aX 5224 EV�R�TT WA J82aG PHON�: PHOPI�: TAX PARCEL ID# 2�JQ�a970Q2131QQ �I'f� AppR��B: 2316 1�TH ��T D�SCRIPTION QF Pf2UpO5�� WCJi�K: 51TE DEV�LOPMENi FC?�t �ALL �I�Ln��YS � GIRL.� �LU[3 O� SNO CQ F��MI7 ��NC�I`iIQN� 9. All calls for inspection shall be madE 24 hours in advance. 2. All work shali be performed in accorda�c� with the permit and �urrent City of Everett Design and Construction Standards ar�d Sp�eific�tic�r��. 3. Call Location Underground iervice 4� hrs before you dig. TOLL FR�E NUMBER 811 � 4. P�r �p�r�ved pl�n. Your Public Works Inspector is Randy Allen. Call 425-339-7403 for any questions and/or insp�ction�:' `"` ' , ,; . .: �-.,. �-� �-�-, ,,.:,. _ . _.. �. , ; _. ,: ...... . ._ _,.. :,� :.. .� �:: .�.._. ��, :� , _ �__ "f'_:'. 4. .J V_ ( 1�-� ',l""I ly,.{ .::��_.� 1� .� �_.. _ fT"� v i:i`_7 .�._- � _"�`� � ��, - �'' Approved for n ruction Date FIN,�L INS�ECTI�N �ate Approved as Constructed ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damag�s, eosts, expenses, or causes af action that may arise beeause of installation and maintenanee of the improvement or ather right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace �{a_�blic property damaged thereby. � �.-�,� �9 � y1� � Signature of Applicant Date WdRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED Tp COMPLETIQN. THIS PERMIT MAY �E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.