5110 DOGWOOD DR 2016-01-01 MF Import

. tu•�L�{'.�'.,�1/ 4 '�4 PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 �aze� z5�-asio Date: Public Works Permit #: Bvildinq Permit #; Planninp Reference #: Public Works Fee $: (�ther $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: GORDON ELIZABETH M VERIZON (ROD PEARSON) 5110 DOGWOOD DR PO BOX 1003 WA0103FT EVERETT Wq 98203 EVERETT WA 98206 PHONE: PHONE: 4252618892 TAX PARCEL ID il 00442200001400 SITE ADDRESS: 5110 DOGWOOD DR DESCRIPTION OF PROPOSED WORK: BORE 3 1.25" CONDUITS CROSSING DOGWOOD DR 6/5/2009 � PW0906-004 $ 107.00 PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be pertormed ir 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. TraHic control is critical. Contractor MUST provide for pedestian treKc control (school kids) W 5. Flaggers required due to narrow roadway with no parking. E„y r.� CONTACT RANDY ALLEN, 425-339-7403 IF YOU NAVE QUESTIONS AND FOR INSPECTION � /Z-U `� /� /S—��( Constructed �� li �J [; AUG 1 3 2009 D crrv c�,r• i,vi;.►:i�r.i. Pcrmit Scrv:ccs � � ►�, O H � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlapplicant hereby agrees lo hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action lhal may arise because of installation and mainlenance of the improvemenl or other iight-ot-way use hereto appiied for and fuAher agrees to remove same upon notice from the City and to replace pGblic property damaged thereby. � 1 - ----L.� 3/�_ � ��. � (� � Si�naWm of Applicanl Date l"JORK AUTHORIZED �7' THIS PERt•11T 1•1U5T B[ START[D IVITH1fJ ]60 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIIIGENTLY PURSU[D TO C014PL[TION. TH15 PERh11T h1A\' �E UNCELLED BY THE CiTY UPON ANY STOPPAGE OF \NORK ON THIS PROJECT OVER 90 DAYS DURATION.