Laserfiche WebLink
PUBLIC WORKS PERMIT <br /> City of Everett Public Works Department /2016 <br /> Date: 3/2 <br /> Public Works Permit#: PW1603-007 <br /> 007 <br /> 3200 Cedar Street Parent Permit#: B1510-025 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 100.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ZION LUTHERAN CHURCH-EVER <br /> PO BOX 2116 <br /> EVERETT WA 98213 <br /> PHONE: 4252521429 PHONE: <br /> TAX PARCEL ID# 00412000101300 SITE ADDRESS: 4634 ALGER AVE <br /> TRENCHING AND GROUND BASED EQUIPMENT FOR VERIZON ANTENNAE <br /> EXTERIOR FENCE AND TRENCHING ONLY- OTHER WORK BY PUD <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 ;1:18 <br /> 7 <br /> F-i <br /> 4. PUD must apply for a UAN for the replacement of the utility pole prior to construction. -+ -n <br /> 5. Construct per approved plan 03/02/2016. `x:7 0. <br /> C:9 a...)C' <br /> CD I 1 <br /> 7. All work must be in conformamce with SEPA-14-022 and SPU-14-008. m i `, <br /> 8. Type III landscaping must be installed between the WCF's equipment compound and <br /> 47th street S.E. , O <br /> +m ... <br /> 1w:r <br /> r <br /> n L. <br /> 9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior r; ` <br /> to starting construction. <br /> Public Works Permit Fee Breakdown: C <br /> 0 <br /> Cut/Bore street/Alley Perpedicular(20') $60.00 A-I <br /> PW Plan Review $20.00 <br /> PW Sit- •spection $20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> f/► / City of Everett from any and all claims for damages,costs,expenses,or <br /> 9 z/2o 6, causes of action that may arise because of installation and maintenance of the <br /> 41111 improvement or other right- f-way use hereto applied for and further agrees to <br /> 'p ed for Constru tic). at remove .- e ash n from the City and to replace public property <br /> dam:.-• i•-re <br /> FINAL INSPECTION Date Z (6 <br /> Approved as ConstructedSignature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />