5025 DOGWOOD DR 2016-01-01 MF Import

�` r' LL'i L �1��'u� PUBLIC WORKS PERMIT City of Everett Public Works Departmant 3200 Cedar Street Everett, WA 98201 (425) 25; -8810 OWNER N!' SE AND ADDRESS: WARSHAWER BOB 1512 FARVIEW ST BELIINGHAM WA 98229 PHONE: 3607347930 PARCEL ID ri 00442200000700 DESCRIPTION OF PROPOSED WORK: BORE IN THE ROW FROM PUD POLE 4-61 TO 4-58 (461') Date: Public Works Permit #: Buildinp Permit #; Planninq Reference #: Public Works Fee $: Other �: APPLICANT NAME AND ADDRESS: ANDERSONJEREMY PHONE: 4253190216 SI7E ADDRESS: 5025 DOGWOOD DR 12/2612008 � PW0812-008 $ 421.00 PERMIT CONDITIONS 1. All calls 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 NUMBEF2 811 4. Must maintain a minimum of 3 feet from existing 8" CI watermain 5. All restoration to be completed within hvo weeks. (Area to be restored to "as is" or better condition) . r_� ri }, iF+�l �� �'` . �' as Z Z�, -c� 23 Z-/S-o� l7 r '� F� i ' � �� ��ri �-- �� Ir�^1 Vl z 0 E� ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmiess the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance ot lhe improvement or other righ4of-way use hereto applied for and furiher agrees to remove same upon notice irom lhe Ci�y and to replace public property'cjamaged thereby / L _. � ��-JJ-U� Signature of A licanl Date WORK AUTHORiZED BY THIS PERh1R MUST BE SiARTED WRHIN 180 DAYS OF DATE PERMIT IS iSSU:D AND TMEREAFfER 15 TO BE DILIGENTLY PURSU[D TO COMPLE'f10N. THIS PERMIT h1AY BE CANCELLED 8Y THE CITY UP�N ANY STOPPAGE OF WORK ON THIS PRO]ECi OVER 90 DAYS DURATION.