10415 EVERGREEN WAY 2018-01-01 MF Import

PUBLIC WORKS Date 10/4/2009 f Public Works Permit M PW0910-005 PERMITBuilCingPermitN V �� ` PUBLIC WORKS DCPARTMENT Planning Relerence N 3200 Cedar Street MAY 1 1 2005 E(425)25p�1B1�OSTING Public Works Fee$ $2�509.18 Guarantee$ OWNER NAME APPLICANT NAME ANDAO�RESS: lO�jS EV,�,RGREEN$ WAY ANDADDRESS: E��TT wA 98204 PHONE: 4253533855 PHONE: TAXPARCELI.D.a PROJECTADDRESS: jQQ1S EVmGR�,gN Q�Y DESCRIPTION OF PROPOSED WORK: PERMIT CONDITIONS 1. All calls for inspection shall be made 24 haurs in advance- phone (425)257•8810 2. All work shall be performed in accordance with this permil and currenl City ol Everett Design and Consiruction Standards and Specifications. 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 9. PERAPPkOVED PLAN DATED 10-1-04 W` r V+ W O � ,rt10-Ob-04 4�0 O5 Z OTHER 166.88 O PW/RVW T79.10 PW/IHSP 1558.?0 �. TOTAL 2504.18 GHEh` 25�B A OM99c^5 a ACKNOWLEDGEMENT OF CONDITIONS � The undersigned owner/applicant hcreby agrees to hoid and -S U save harmless the Ciry of Everetl from any and all claims tor Approvetl lor Con Iruclion oa�e damages,cos�s,expenses,or causes ef action that may arise ✓f�,.,p because of inslallation and maintenanc�n ol the improvement or ` other right-ol-way use herelo applietl for and further agrees to remove same upon notice Irom the City and b replace public FINAL INS ECTION pr by, /O _ � Appmvetl as Cons:ructetl Daie ./�l.1 ._. � re ol A Date WORK AUTHORIZED BY THIS PERMIT MUST BE S7ARTED WITHIN 780 DAYS OF DATE PERA'1T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED 70 COPAPLE710N.THIS PERMIT MAY BE CA�lCELLED 8Y THE CIN UPON ANY STOPPAGE OF WORK ON T}iIS PROJECT OVER 90 DAYS DURATION.