Laserfiche WebLink
BLIC WORKS PERMIT <br />CrL/�6edar�e�/LA� <br />Everett, WA 98201 <br />� (425) 257-8810 <br />Date: 1 /4/2013 <br />PublicWorksPermit#: PW1301-003 <br />Buildinq Permit #; <br />Pianning Reference #: <br />Public Works Fee $: S 45.00 <br />._ ___._ er : � <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />DAVE ELLIOT JIREH NLG CONSTRUCTION LLC <br />3219 172nd ST. S.E. P.O.BOX 14549 <br />BOTHEL Wq g8012-24 BOTHELL WA 98082 <br />26 PHONE: 2069728062 <br />PHONE: 7074832426 <br />TAX PARCEL ID # SITE ADDRESS: 3004 NASSAU ST. <br />DESCRIPTION OF PROPOSED WORK: <br />REPLACE SIDEWALK, PARKING <br />(1/4I2013 11:10 AM BES) <br />REPLACE PART OF THE SIDEWALK AND PARKING LOT <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advan�e. <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 <br />4. CONSTRUCT PER APPROVED PLAN. , <br />5. CONTACT CITY OF EVERETT INSPECTOR RANDY ALLEN (425) 339-7403 PRIOR TO STARTING ;; ��� �5'; W <br />CONSTRUCTION. � �. �'`� <br />:��-�- H <br />Tp pOSTING � �_ �°_--=- <br />as Constructed <br />J� <br />�� <br />��-` ya�- _26 �13 <br />ACKNOWLEDGEMENT OF COtJDITI0N5 <br />The undersigned owner/applicanl hereby agrees to hold and <br />save harmless the Cily of Everett from any and all ciaims for <br />damages, costs, expenses, or causes of aclion that may arise <br />—because of insta!lation and mainlenance of ihe improvemenl ---- <br />or other nght-of-way use hereto applied for and fuRher agrees <br />to remove same upon notice (rom the City and to replace <br />public foperty damaged lhere . <br />�/�� / ��.w.-� �� �`y�/3 <br />Signalure of Applicanl Date <br />WORK AUTHORIZED 8Y THIS PERh1lT h7UST �E SfARTED WIfHIN 180 DAYS OF DATE PERh1R IS 155UED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEf10N. THiS PERMIT h1AY BE CANCELLED DY THE CIIY UPON ANY STOPPAGE OF 1VORK ON THIS PROJECi OVER 90 DAYS DURATION. <br />FNl:INFFRI�Il: I PI IRI IC CFR�/�CFR Ill\/I.SI(1N •��nn r.P��� �r�aPr • FvaraB. WA A8201 • fd2.51257-A8o0 • Fax (4251257-8856 <br />