4118 GRAND AVE 2018-01-02 MF Import

PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 (425) 257-9810 OWNER NAME SOULIER FREDERIC AND ADDRESS. 4118 GRAND AVE EVERETT NA 98203 APPLICANT NAME AND ADDRESS. Date 06/17/2003 Public Works Permit M P90306-017 Building Permit x Planning Reference a Public Works Fee S $25.00 Guarantee S PHONE 4252525900 (PHONE TAX PARCEL I.D.6 00596200900800 PROJECTADDRESS. 4118 GRAND AVE DESCRIPTION OF PAVE EXISTING DRIVEMAY PROPOSED WORK: PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800424.5555 4. Pave driveway with a slightdip at area of natural drainage along edge of roadway h4s been eX�eHdz.d �'or /80 days-, ,� L 117103 FINAL INSPECTION Approved as Constructed Date 07-14-03 3:09PM 9 0306017 DRIVE 25.00 TOTAL 25.00 A OM3661 ACKNOWLEDGEMENT OF CONDITIONS W n� MN W O The undersigned ownerlapplicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses. or causes of action that may arse because of installation and maintenance of the improvement or other right-of-way use hereto applied for and er agrees to remove same unotice fro$ the t replace public pr dama§td thereby. ( 1 Signature or Applicant Dale WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.