764 CROWN DR 2016-01-01 MF Import

Date: 9/1/2011 � � pUBLIC WORKS PERMIT publicWorksPermit#: PW1109-002 City of Everett Public Works Department guildinp Permit#; 3200 Cedar Street Everett, WA 98201 Planning Reference#: (425)257-8810 public Works Fes 5' $ 25.00 Ottier $: APPLICANT NAME AND ADDRESS: OWNER NAME ANU ADDRESS: MCCLAIN PATRICK 764 CROWN DR EVERETT WA 98203 PHONE: PHONE: TAX PARCEL ID# OOA64700001300 SITE ADDRESS: 764 CROWN DR DESCRIPTION OF PROPOSED WORK: PAVE AREA ALONGSIDE ROADWAY IN RIGHT-OF-WAY PERMIT CONDITIONS 1. All calis 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. Work shall be done so as not to impact surrounding properties or roadway. r., H Z �� 5. Keep Ciry streets clean at all times. �� Call Ra��dy Allen at 425-339-7403 with questions and for final inspection. � =^ � � � 0 r � � � O 6T� ��,-� ` V�;n r/� Q�O 4' Vl �N •O r� a"� ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlapplicant hereby agrees to hold and save hartnless the Ciry ot Everett(rom any and all claims for damages,cosls,expenses,or causes ot adion thal may arise because of fnst�ilation and maintenance o(the improvement p y�-�` or other right-of-vray use hereto applied for and further agrees .� �!'t��'�v to remove same upon notice from the City and to replace Appr e or Constru ioR Date pub' r perry damaged thereby. y/3-1 �G�,� ' - NAL INSPE fION Date qpprovsd as onstNcted Signature of Applicant Date . �� WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WifH[N I80 DAYS OF DATE PERMif iS iSSUED AND THEREAFfER 15 T'0 BE DiLIGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION.