Laserfiche WebLink
Date: 9127/2012 <br /> . PUBLIC WORKS PER�VI�T':���p�blicWorksPermit#: PW1209-020 <br /> 03�� � <br /> City of Everett F�ib�•Works D���rtment i�.T 1 Buildinp Pefmit#; <br /> 3200 Cedar Street <br /> � �%���';✓/� Evere�,�WA��88`dD9i�,��� Planning Reterence#: <br /> (425) 257-8810 Y .�.ai Fublic Works Fee S: 5 25.00 <br /> i '1iH(F' <br /> i; ��5.00 Other 3: <br /> „.., �.,, <br /> qpPLICANT NAME AND ADDRESS: <br /> OWNER NAME AND ADDRESS: gpLINTER BRIAN <br /> SPLINTER BRIAN ��ppq PALM AVE <br /> 11024 PALM AVE EVERETT WA 98203 <br /> EVERETT WA 98203 <br /> PHONE: 2536918454 <br /> PHONE: 2536918454 <br /> TAX PARCEL ID t! 00531700300104 SITE ADDRESS: 162t PALM AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> DITCH FILL IN FRONT OF HOUSE <br /> PERMIT CONDITIOt4S <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. AII work shall be performed in accordance with the permit and cu�rent Ciry of Everelt Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. 12"concrele or HDPE N-12 pipe. W <br /> 5. Gravel shouider-no concrete or ashpalt. F <br /> Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections. �,,,y <br /> � <br /> 0 <br /> h <br /> 0 <br /> � <br /> � <br /> i�r <br /> ACKNOVJLEDGEMENT OF CONDITIONS <br /> The undersigned ovmedapplicant hereby agrees to hold and <br /> save harmless the City of Everett from an�and all claims tor <br /> damages,wsts,expenses, or causes of action thaf may arise <br /> because of inslallation ar.d mainten tied for and furthe agrees <br /> � _ or olher righ4of-way use herelo app <br /> z' to remove same upon notice from the City and to replace <br /> Appr ed r � nstruc on Date ^ public property dam ged th by <br /> c.�t i i '(�-- ! 7�/��l �— <br /> , � --- �7'� c�0� <br /> FINAL INSP TION Date <br /> Approved as Constructed Signalure of Applicant Date <br /> t'JORK AUTtiORIZED BY THIS PERt•1fT t4UST 0E STARTED WTTHIN 1&0 DAYS OI DATE PERMR IS 155UED AND THEREAFTER IS TO BE DILIGENTLY <br /> PUHSUEU TO COhiPLLT70�! THIS�E0.IdIT t•tAY BE CANCELLED BY TH[CITY UPON ANY STOPPAGE Or 1'JORK ON THIS PRO]ECi OVER 90 DAYS DURATION. <br />