2616 BAKER AVE 2016-01-01 MF Import

PUBLIC WORKS PERMIT Date 11/7/2012 ' Public Works Permit#: PW1211-004 y City oi Everett Public Works DepaRment 3200 Cedar Street Buildinp �ermit#; r��Jt/..�'rs5�u' Everett, WA 98201 Planninp Re(erence#: (425) 257-8810 Public Works Fee $: $ 25.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADURESS: CREAMER ROBERT J CREAMER RODERT J 2616 BAKER AVE 2616 BAKER AVE EV[RF rT WA 98201 EVERETT WA 98201 PHONE: 4253030739 PHONE: 4253030739 TAX PARCEL ID# 00437860402100 SITE ADDRESS: 2616 BAKER AVE DESCRIPTION OF PROPOSED WORK: REPLACE DAMAGED SIDEWALK PERMIT COND�'�IONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be periormed in accordance with the permit and current Ciry oi Everett Design and Construction Standards and Specifcations. '+. Call Location Underground Service 48 hrs betore you dig. TOLL FREE NUMBER 871 4. Sidewalk per Ciry Slandard#306. Your Public Works Inspector is Randy Allen Call him at Ai:5-339-7403 for questions and inspections F � � Q� � !'7 � z � � H � 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless Ihe City of Everett Irom any end all claims lor damages, costs,ezpenses,or causes ol aclion thal may anse because cf inslallation and maintenance of the improvement ' "' �� / r /.� . `I or other right-of-way use heretu applied for and(urther agrees �G to remove same upon notice from ihe City and lo replace ApproVe or Constr io0 Date public propert�damaged thereby. ;� t _ �l�_ � ? - >- ��z FINAL INS TION Date �� - r�� 1`•� Z Approved as Constructed Signature ol Applicanl Date WORK AUTHORIZED DY TI115 PERPIIT h7UST BE STARTED WITHIN I80 DAYS OF DATE PERMR IS ISSUED ANO THEREAFfER IS TO 8E DIL1,',ENTLV VUN;l1EU TO COMPL[TION, TNIS PERMIT MAY BE CANCELLED[3Y iHF CITY UF'0Y ANY STOPPAGE OF WORK ON THIS PRO)ECT OVER.90 DAYS DUfiATICN.