3020 NASSAU ST 2016-01-01 MF Import

PUBLIC WORKS PERMIT City of Everett Public Works Department � � 3200 Cedar Street Everett, WA 98201 (425) 257-8810 OWNER NAME AND ADDRESS: HOGG PHILLIP B & CHRISTIN 3020 NASSAU ST EVERETT WA 98201 PHONE: �X PARCEL ID # 00437572302700 DESCRIPTION OF PROPOSED WORK: CREATE PKG LOT-PUGET SOUND KIDNEY CTR Date: Public Works Permit #: Buildinq Permit #; Planning Reference #: Public Works Fee $: Other $: APPLICANT NAME AND ADDRESS: ANDY HALL PHONE: 4252590868 SITE ADDRESS: 3020 NASSAU ST 5/17/2012 � PW1205-022 $ 547.61 PERMIT CONDITIONS ;. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current C�tV of Everett De=ign and Construction Standards and Specifications. � 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 871 4. Per approved plans. Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspecticns. TO POSTING �°/ 2 s � Z —% �L ��7—( 2 Date as Constructed ACKNOWLEDGEMENT OF CONDITIONS The undersigned ov.�nerlapplicanl hereby agrees to hold and save hermless ihe City of Evere!1 from any and all claims for damages, cosls, expenses, or causes of action that may arise because oF installalion and maintenance nf the improvemenf or other right-of•way use herelo applied for and tuAher agrees to remove same upon nolice trum lhe Cily and to replace public property damaged thereby. �� 8f��/2 Signature of Applicant Dale ..��._'__ . WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WifHIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COhiPLEfION. T7115 PERMIT MAY BE CANCEI.IED BY iHE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT O\'ER 90 DAYS DURATION.