1030 W MUKILTEO BLVD 2018-01-02 MF Import

PUBLIC WORKS PERMIT Date: 6/17/2008 , c Public Works Permit#: PW0806-019 City of Everett Public Works Department 3200 Cedar Street Building Permit#; Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee $: $ 25.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: BUNNEY MELISSA A CARPER JOEL 1030 W MUKILTEO BLVD (SPOUSE) EVERETT WA 98203 PHONE: PHONE: 4257370652 TAX PARCEL ID# 00505800001901 SITE ADDRESS: 1030 W MUKILTEO BLVD DESCRIPTION OF PROPOSED WORK: FILL DITCH IN RIGHT OF WAY PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance 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. Existing pipe and ditch are shallow so that pipe will have minimal cover. Must maintain minimum of 12" of cover over the pipe. 5. Call for meeting with inspector(Randy Allen, 425-339-7403)when starting work PR 3:;1-14 6. Provide any traffic control a needed. Consult with the Public Works Inspector (Randy) 0.0 L� 48. O L. ® 4 0 Fi ca.EZ . /i ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise //'� /� because of installation and maintenance of the improvement 6 o�7 0 or other right-of-way use hereto applied for and further agrees A roved for Construction Dat to remove same upon notice from the City and to replace p public property damaged thereby. FINAL INSPECTION Date Approved as Constructed ignature of A p cant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.