Laserfiche WebLink
PUBLIC WORKS PERMIT Date: 01I05/2010 <br />Public Works Permit #: PW1001-002 <br />Cily of Everett Public Works Department <br />-;. r,, 3200 Cedar Street Buildinp Permit #; 60912-030 „ <br />```�'� Everett, WA 98201 Planninq Reference#: �� <br />(425)257•8810 <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />VJILDERMUTH ELEANOR <br />5413 SOUTH 4TH nVENUE <br />EVERETT WA 98203 <br />PHONE: <br />TAX PARCEL ID # 0050030250070D <br />DESCRIPTION OF PROPOSED WORK: <br />DRIVEWAY REPLACEMENT <br />PHONE: <br />SITE ADDRESS: 5413 S 4TH AVE <br />PERMIT CONDITIONS <br />t. All calls tor inspeclion shall be made 24 hours in advance. <br />2. All work shall be pertormed in accordance with the permit and current City o� Everelt Design and Construction Standards <br />and Specificalions. <br />3. Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 �- <br />4. The contractor must meet with lhe Public Works Inspector to discuss polential drainage routing prior to beginning <br />the project. <br />5. Inslall erosion conlrol rieasures as determined by the Public Works Inspector such as silt fence, straw bales, <br />swales or erosion blankets. <br />6. Remove erosion control measures upon completion of the project prior lo final approval of the permiL <br />7. No dirt, mud, rocks or debris lo be lracked onlo roadway <br />YOUR PUDLIC WORKS INSPECTOR �S RANDY ALLEN 425-339-7403 <br />�—Zz- � U <br />INSPE <br />�ved as <br />Lta <br />F" <br />� <br />Qa <br />� <br />� <br />7 <br />O <br />F- <br />� <br />O <br />o. <br />�CKNOWLEDG[P,A[NT OF CONDITIONS <br />The undersigned ownedapphcanl hereby agrees to hold and <br />save haimless Ihe City of [veretl from any and all claims for <br />damages. cosis, expenses, or causes o( action thal may arise <br />because e( installaGon and maintenance of ihe improvemenl <br />cr other right-oi-way use hereto appl$i d lor and furiher agrees <br />to remove same upon notice from itY�' Ci� and lo replace <br />public prope�y �amageBihtyehg'y� �j� <br />� � <br />Signature of <br />Dale <br />6VORK AUTHORIZED OY THIS PERPIIT D1UST BE STARTED WITNIN Ifi0 DAYS OF pATE PERMIT IS ISSl1ED A'�'� THEREA�TER IS TO 6E OILIGENTLY <br />PURSUf_D TO COh1PlfT10N. THIS PERPllT P1AY 13[ CANC[LLFD I31' THE CI7Y UPON ANY STOPPAGE OF bVOi ON 1HI5 PRO]ECT OVER 90 DAYS DURATION. <br />