Laserfiche WebLink
iPus�ic wa��� <br />PEi�MIT <br />PUBLIC WORKS �EPARTMENT <br />3200 Cedar Streel <br />Evemtl, WA 98201 <br />� (42t) 257��810 <br />`WNER NAME rjd3] BOV@ <br />�NDA�DRESS�. y <br />4b15 Baker Lrive <br />EVE};ETT WA 982�3 <br />PHONE: a,�,'rj�i53b777 <br />TFX PARCEL I.D. p <br />APPLICANT NAME <br />ANDADDPESS: <br />PHONE. <br />PROPOSEDwoaK:Replace brokan/damaged sidewalk <br />PERMIT GONUITIONS <br />Data Z�22�?,003 <br />PubliclNorksPermitu P�OJOl-0��� <br />Building Permit q <br />Planning Reterence q <br />Public Works fee S <br />$25.00 <br />Guaranlee 5 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8d70 <br />2. All work shall be performed in accordance with Ihis pe� nit and cuneN City of Everett Design and Construction <br />Standar�ls and Specilicalions. <br />3. Call Loca�ion Lnderground Service 48 hrs. betore you diy. TOLL FREE NUMBEH 1-800-42'•5555 <br />4. New Sideualk shall be as per ci.ty o£ Everett standard plan q306 anr: <br />as per the public works inspector:: dirF�ction in the field. Call the <br />inspEctor at 425-339�-7404 for meeting prior to beginning wark. <br />5. Provide appropriate berzacading while sidewalk is under repair <br />1 �`-<< �_- �-�h �:. <br />FINAL INSPECTION <br />Approvetl as Construtled Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicanl hereby agmes to hold and <br />save harmless the City of Everctt Irom any and all claims for <br />damages, costs, expenses, or causes ol aclion that may arise <br />becauso ol installalion and maintenance of Ihe improvement or <br />other righ4of-wa� uso hereto applicd lor and IuNier aorees to <br />remove same upon notice Irorr� Ihe Cily and lo replace public <br />pioperty damagetl Ihereby. <br />1��!Pcr � � .22 U�_— <br />Si�natu ala <br />WORK AUTHORIZED BV THIS PERMIT MUST BF STARiEU WITHIN 180 UAVS OF DATE PERMIT IS ISSUED AND 7HEREAFfEF IS TO BE DILIGf:NfLY PURSUED <br />TO COMPLETION. THIS PER611T MAY �E CANCELLED 9Y THE Cltt UPON ANY STOPPAGE OF WOHK ON THIS PROJ[CT OVER 90 DAYS DURA710N. <br />