11901 FREEWAY PL 2016-01-01 MF Import

PUBLIC WORKS PERMIT Date: 9/2912009 Public Works Permit #: PW0909-025 ' ' City of Everett Public Works Department �,� � �_ 3200 Cedar Street 1��-i_�!.-�i��'�� i't;ll, �y:?� Buildincl Permit #; Everetf,-,VY�A 98201 REG-]_ ��lai�ninq Refe�ence #: (425) 257-8810 f,T 1 �;;';�:,,;- �';,,.'�,'_,,�,�,�� Public Works Fee $: $ 239.34 Other $: � PlI I}�S APPL�C�N'f NAME AND AD�RESS: OWNER NAME AND ADDRESS: t : �.� i EAGLE COUNTRY CONSTRUCTION iL y�Q�`1�R"i`�< PO BOX 1304 CHE'�;` 'a�'; '.��; MARYSVILLE WA 98270 PHONE: 3604545181 PHONE: TAX PARCEL ID# 00573800006700 SITE ADDRESS: 11901 FREEWAY PL DESCRIPTION OF PROPOSED WORK: CONNECT DUPLEX TO CITY MAN HOLE (OUTSIDE CITY LIMITS) PER�11T CONDITIONS 1. All calls for inspecGon shall be made 24 hour_. in advance. 2. All work shall be performed in accordance w�th i�e 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 611 4. Work to be done per apprcved plans FOR PUBLIC WORKS INSPECTIONS CALL CLIFF LINDMAN AT 425-339-7404 � � � � "y O E� � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless lhe City o(Everelt from any and all claims for damages, costs, expenses, or causes of action that may arise —/ /� because of mslallation and maintenance of the improvement �i/�� 7C;.� v_jo � , or other right-of-way use hereto appGed for and further agrees � � d�` / to remove same upon notice irom lhe Ciry and�o replace Approved for Construction Date � publiapra eny damaged thereby. —:�-%' �-_'..r�� - < � ,� '� � i (}l FIN�NSPECTION Date ' ' Approved as Constructed /G' Z`) �Slgnature of qpplicant Da e i / WORK AUTHORIZED BY THIS PERMIT M1tUST BE STARTFD WRHIN 180 DAYS OF.D TE PERI•11T/IS ISSUED AND THERCAFfER IS TO BE DILIGENTLY PURSUED TO COI•7PLEfION. THIS PER�d1T h1hY BE UNCELLED BY THE CITY- � N ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.