1625 EDGEMOOR LN 2016-01-01 MF Import

PUBLIC �ORKS PERMIT Date: 7I27I2012 Public Works Permlt #: PW1207-029 Gty of Everelt Public Works Department 3200 Cedar Street Buildinq Permit#; 81207-038 'T'''"'`1�� [verett, WA 96201 Planninq Reference #: (425) 257-88�0 Public Works Fee 5 � 35.00 Other 5: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: SCHENCK GARY OWNER 1625 [DGEMOOR LN EVERETT WA 98203 PHONE: 4258641181 PHONE: TAX PARCEL ID N 00740400000900 SITE ADDRESS: 1625 EDG[MOOR LN DESCRIPTION OF PROPOSED WORK: PERMIT POR CUT/FILL ONLY E3UILDING P[RMIT IS R[QUIRED FOR THE WALL TO STABILIZE SLOPE PERMIT CONDITIONS 1 All calls for inspection shall be made 24 hours in advance. 2 All work shatl be periormed in accordance wilh the permit and current City of Everett Design and Construction Standards and Specifications 3 Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4 This permd is (or cut/fill oniy. A building permit is reqwred for the wall 5 Contact Public Works Inspzclor Randy Ailen (or mspechons at •425-339-7403 . W � rr � W O � " O :.' - ' �i � , . � �'� . ' � , . "� O , . � �CKNOWL[DGGMENi OF CON�ITIONS The undcrsigned ovmer/applicanl hereby a9rees lo hold and save haimless the City o(Everelt from any and all clanns lor damages, cosls, expenses, or causes of action Ihat may arise V� because ol installation and maintenance of the improvemenl � or other right-o6way use hereto applied for and furlher agrees - � � � Z to remove same upon nolice from the City and to replace Ap ov or on c o Date public perly damaged thereby. 3�24 -r� �� / " -INAL INS _CTION Date Approved as Constructed Sig ture ol Applicant Date WURK AU7HOR'ZED BY THIS PERMIT MUST BE STARTED WIT}IIN 18D DAYS OF AT ERMIT IS ISSUED AND T}1EREAFlER IS TO BE DILIGEMlY PURSU[D TO COPIPLLTION. TlilS PERh1R MAY BE UNCELLED BY THE CITY U NY STOPPAGE OF WORK ON THIS PROJ[CT OVER 90 DAYS DURAIION.