6328 BERKSHIRE DR 2016-01-01 MF Import

PUBLIC WORKS PERMIT Date: 01/16/2009 , Public Works Permit #: PW0901-013 City of Everett Public Works Department ., ,_,, 3200 Cedar Street Buildinp Permit #, � - "'i'�' Everctt, WA 98201 Planninq Reference #: (425)257-8810 �ublic Works Fee $: $ 25.00 Other $: OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: HUGHLEY RONALD R 6328 BERKSHIRE DR SE EVERETT WA 98203 PHONE: 4255136887 AX PARCEL ID p 003929006037G0 DESCRIPTION OF PROPOSED WORN: FILL IN HOLE BELOW BASEMENT IEVEL PHONE: SITE ADDRESS: 6328 BERKSHIRE DR � PERMIT CONDITIONS 1 All calls for inspection shall be made 24 hours in advance. 2 All work shall be peAormed in accordance with the permd and current City o( Everett Design and Construction Standards and Specdications. 3 Call Location Underground Service 48 hrs be(ore you dig TOLL FREE NUMBER 61t �- 4 Keep city streel clean at all times 5. Provide soil compadion as noeded. 6 Fill material musl be non-organic and be placed wilhout significant voids 7 Call for inspection when work is complete. THE INSPECTOR IS RANDY ALLEN 425-339-740° / " < ' j.1; !�,�;-/: � � �� Y Appr for l'onstryctron � Date _'� _,-t _(/�� 7- ( � !._ - iNAL INSP TION Dale Approved a3 Constructed W fJ U1 � .; � I: ,� ; ACKNOWL[DGEMENT OF CONDiTIONS The undersigned owner/applican� hereby agrees to hold and save harmless Ihe City of Everelt Irom any and all c!aims lor damages, cosls, expenses, or causes of action that may arise because of installation and maintenance ol the improvement or other right-of-way use hereto applied for and IuAher agrees to remove same upon notice trom the Ciry and to replace public prqperty da/f�age�1 ther�b�+. of Appiicant Date �;ORK AUTHORIZfD f3Y THIS PFRMIT h1U5T !IF STARTCD WITHIN 180 DAVS OF DATF PFRMIT IS ISSUED AND THER[AF�R IS TO BE DILIGENTLY PUkSUfD 10 COht�l F-110N THIS PCNhtli MAY flC UNCf:LLEG BY THE CITV UPON ANY STOPPAGE OF WnRK ON THIS PROJECT OVER 90 DAYS DU'2ATION.