4913 DELAWARE AVE 2016-01-01 MF Import

PUBLIC WORKS PERNiiT Date: 4/9/2013 r Public Works Permit #: PW1304-006 City of Everett Public Works Depariment �,.r _,,;_;,> 3200 Cedar Street Building Permit#; B1304-001 �"�"`''"' " Everett, WA 98201 Planninq Reference# (425) 257-8810 Public Works Fee 5: S 65.00 Other 5: OWNER NAME AND ADORESS: APPLICANT NAME AND ADDRESS: FALLEEN LINOA 4913 DELAWARE AVE EVERETT WA 98203 PHONE: 4255120731 PHONE: TAx PARCEL ID u 00410200011500 SITE ADDRcSS: 4913 Df=LAWARE AVE DESCRIPTION OF PROPOSED WORK: PAVING PERMIT CONDITIONS i All calls for in��ection shall be made 24 hours in advance 2. All work shall be performed in accordance�vith 1he permit and ccrrent City of Everett Cesign and Conslruchon Siandards and Spec�fications. 3 Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 a Pave from aliey to garege. � � T � �� x Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inLp�cri�� m c c�� o a s-, g V� � m .W � �Ot-- � � �,��"1 � ��z �:fJ..,�:, "y �Q �.�� .�,c....k- r.��n i. n L.� v� �LTI£.r��_'�i — c�i� .�i� ~�i O � -� � ACKNOWLE�GEMC-NT OF CONDIT IONS The undersigned owner;sppiicant hereby agrees to hold and save harmless Ihe City of Everetl from any and all claims lor damages, cosis, expenses, or causes of aclion that may anse because of installation and mamtenance of the improvemenl � �/ _ /� or other riqht�of�way use hcrelo applied for and further agrees A r ed r Co ' Date to remove same upon notice from the City and to replace �/ � ' '� public property damaged Ihereby. � � �� _2�-- FINAL INS T O Date 1 � - Rpproved ds Constructed �i nalure of ApplicaN Date , II� WORK AUTHORIZ[D 6Y THIS PERMR MUST BE STARTED 1Vff111N 180 DAYS OF DATE PERh11T IS ISSUED '.`�D THEREAFiER IS TO BE DILIGENTLY PURSUED TO COh1PLET10N. THIS PERPt1T h1AY�E CANCELIED 6Y TH[CITY UPON ANY STOPPAGE OP WORK ON THIS VROJECT OVER 90 DAYS DURATION.