5011 WILMINGTON AVE 2016-01-01 MF Import

PUBLIC WORKS PERMIT City of Evereri Public Works Department 3200 Cedar Streel Everett, WA 98201 (425) 257-8810 Date: 08/1312001 Public Works Permit #: PW0108-011 Buildinp Permit #; Planninp Reference #: Public Works Fee $: $ 25.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: Scott Beauchamp Scott Beauchamp 5011 Wilmingtoon 5011 Wilmingtoon EVERETT WA 98�J3 EVERETT WA 9b203 PHON[: 4253390875 PHONE: 4253390675 TAX PARCEL ID ri SITE ADDRESS: 5011 Wilmingtan Ave DESCRIPTION OF PROPOSED WORK: Install Driveway Add front driveway access to garage PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be pertormed in accordance wilh the permit and current City ot Everett Design and Construction Standards and Specifications. 3. Cal; Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 �- 4.Install driveway per City slandard tF307. 5. Meet with the public Works inspector when doing work. /��C�� � � �- l �� � w F'� ►., � � O � 0 � 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlapplicant hereby agrees tc hold and save harmless the City of [vereU from any and all claims for damages, cosls, expenses, or causes o( action that may arise because of installation and maintenance ot the improvement or other right-of-way use hereto applied for and further agrees to remove same upon nolice from Ihe CAy and to replace public property damaged ihereby. Signa�ure of Applicant Date i \NORK AUTHORIZEC BY THIS PERMIT MUST BE SfARTED WITHIN 180 DAY$ OF DAT[ PERMIT IS ISSUED AND THEREAFTEA IS TO BE DILIGENTLY PURSU[D TO COMF .Ef10N. THIS PERMIT MAV BE CANCELLED BY THE CiTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.