6004 EVERGREEN WAY 2016-01-01 MF Import

L�' •-��1 PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Date: 3l31 /2009 Public Works Permit #: PW0903-019 Buildinp Permit #; Planninp Reference #: Public Works Fee $: S 45.00 Other �: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: FLO ASSOCIATES LLC PIERCE EVAN PO BOX 60127 CELL 206-683-1892 SEATTLE WA 98160 PHONE: 2065425061 PNONE: TAX PARCEL ID # 00393200602400 SITE ADDRESS: 6004 EVERGREEN WAY DESCRIPTION OF PROPOSED WORK: GRADE/PAVE NEW PARKING AREA PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accoraance 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. Subgrade compaclion and paving per City of Everett standard. 5. Striping of parking per City of Everett standard. 6. Construct per plan. � � O ��i �r � �- W � � � F�I O � z 0 H � O 0. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everetl from any and all claims for damages, cosis, expenses, or causes ot action that may arise because of installation and aintenance of ihe improvemenl or other right-of-way use her�'to applied for and (urther agrees lo remove same upon n9tice rom the Ciry and lo replace public p erty damag�d t reby. / %� �`_-'7 / 7 !/n SignatureotApplicant Dale / WORK AUTHORIZED 6Y THIS PERMIT MUSf BE STARTED \iIITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF7ER IS TO B[ DILIGENTLY PURSUED TO COMPI.ETION. THIS PERM[T MAY BE CANCELLED 8Y THE CffY UPON ANY STOPPAGE OF WORK OPl THIS PRO]ECi OVER 90 DAYS DURATIO�.