3419 BELL AVE 2018-01-02 MF Import

4- PUBLIC WORKS PERMIT r City of Everett Public Works Department 3200 Cedar Street r ll� Everett, WA 98201 (425) 257-8810 OWNER NAME AND ADDRESS: CYNTHIA DALE 3419 BELL AVE. EVERETT WA 98201 PHONE: 4253671009 ITAX PARCEL ID N DESCRIPTION OF PROPOSED WORK: INSTALL CONDUITS ON BELL AVE 17 Date: 511312011 Public Works Permit #: PW1105-010 Building Permit #; Planning Reference #: Public Works Fee $: $ 100.00 Other $: APPLICANT NAME AND ADDRESS: DALE CYNTHIA 3419 BELL AVE EVERETT WA 98201 PHONE: 4253671009 SITE ADDRESS: 3400 BELL AVE ),< L 0 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. CONSTRUCT PER APPROVED PLAN.., W r O F. O 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 $ y 6 �� or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace *onstiatpublirepedy damaged lher Date as Constructed Signal re of Applicant Date L11 WORK AUTHORIGLO BY THIS PERMI I 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.