1019 PACIFIC AVE 2018-01-01 MF Import

PUBLIC WORKS PERMIT Date: 6/4/2010 Public Works Pertnit#: PW10U6-004 ' City of Everett Public Woiics Department 3200 Cedar�';reet Buildinp Permit f�; B1003-017 Everett,WA 98201 Planninp Reference#: (425)257-8810 Pubiic Works Fee$: $ 25.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PUGET SOUND KIDNEY CEWTER 1005 PACIFIC AVE EVERETT yyp 98201 PHONE: 4252595195 PHONE: TAX PARCEL ID N 00437572301600 SITE ADDRESS: 1019 PACIFIC AVE DESCRIPTION OF PROPOSED WORK: CUT ALLEY FOR TELEPHONE FOUNDATION ONLY ISSUED 5/27/70. HOLD C.O. FOR PARKING. SEE COMMENTS. PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. hll work shall be performed in accordanr,e with the 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 811 4. Restore pavemeot per City Standard#316 W 5. Use CDF for trench backfill � E. Keep City streetslalley clean at all times � � � �'7 z TO P�STING 3 0 � 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless lhe City of Everett from any and all claims tor damages, costs,expenses,or causes of adion ihat may arise //� because of inslallalion and maintenance of the improvement �J5,� �� ,7' � _ �,�(, or other right-of-way use herelo applied(or and fuAher agrees /L" ' —� � to remove same upon notice trom the City and lo replace App�o,ved o Const�ucti Date public property damaged thereby. ' /� 7��-/� , INAL INSPE TIO Date Approved as Constructed Signature of Applicant Date WORK AUTHORIZED BY THIS PERhiIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TFiEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLEf10N. THIS PERPIIT h1AY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.