2829 RUCKER AVE 2018-01-01 MF Import

� PUBLIC WORKS PERMIT Date: 10124I2012 � Public Works Permit#: PW1210-018 City of Everett Public Works Department 3200 Cedar Street Buildinp Permit#; Everett, WA 98201 Planninp Reference#: (425)257-8810 Public Works Fee 5: $ 35.00 Other �: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: GENE BSERDAH 4129 STONE WA'�'N. SEATTLE WA 98103 PHONE: PHONE: 2063311323 TAX PARCEL ID il SITE ADDRESS: 2829 RUCKER AVE DESCRIPTION OF PROPOSED WORK: REMOVE AND REPLACE SIDEWALK (10.''L4IGU i7. 9:43 AM BES) R[MOVE NND REPLACE SIDEWALK 3"X6" AND REPLAC STORMELINE PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be pertormed 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 NUMkiER 811 4. REPLACE PER CITY STANDARD#306. 5. PUT CONSTRUCTION SIGNS AROUND PROJECT ON , _ � �:� THE SIDEWALK FOR PEDESTRIAN. � � 5. CALL CITY INSPECTOR RANDY ALLEN 425339-7404 �)�'' :' �„� PRIOR TO CONSTRUCTION. -' �- (/] , �_� „ ;- i rO r � i� L�� O �n "' .F = 'o:^ =;o.= - -��-�J ,__ a. � ACKNOWLEDGEMENT OF CONDITIONS � The undersigned owner/applicant hereby agrees to hold and _ save harmless Ihe City of Everett from a n all claims for � � damages,cosis,expenses,or cause actlon that may arise � 9 because of installalion and�nain nce ofthe improvement . � , �6 . , �j 7 or other righ4of•vay u h�ret a lie�or and further agrees �— to reinove sai upoi�Jice om tl e City and t Tepiace pp v d r C ns qn,✓ ale public prc� y dama§ed 1 r y � . i , ��; �"�- /l' -3/-�z �' ,Z��/� � �O a� FINAL INSPE ION Date Approved as Constructed Signalure of Applicant Date WORK AUTHORIZED BY THIS PERhIIT h1UST OE STARTED WITHIN l60 DAYS OF DATE PERh11T IS ISSUED AND'fHEREAFfER IS TO BE DILIGEN1lY PURSUED TO COMPLEl10N. THIS PERDIIT�tAY BE CANCELLED DY THE CIN UPON ANY STOPPAGE OF WURK ON THIS PROJEC7 OVER 90 DAYS DURATION.