1901 SUMMIT AVE 2016-01-01 MF Import

PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425)257-8810 Date: Public Works Permit #: Building Permit #; Planning Reference #: Public Works Fee $: nther $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: MUSTACH LAND DEVELOPMENT MUSTACH LAND DEVELOPMENT �BOX 12176 �BOX 12176 MILL CREEK WA 98082 MILL CREEK WA 98082 PHONE: 4252440549 PHONE: 4252440549 TAX PARCEL ID it 00563239901200 SITE ADDRESS: 1901 SUMMIT AVE DESCRIPTION OF PROPOSED WORK: INSTALL DRIVEWAY 1 /10/2013 PW 1301-006 C1210-t708�\ $ 25.00 PERMIT CONDITIONS 1. All calls for inspeclion shall be made 24 hours in advance. 2. All work shall be per(ormed 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 � As per approved plan and per the Public Works Inspector's direclion in lhe fieid. w � � C/i � � h z 0 � � 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedappGcant hereby agrees to hold and save harmless �he Ci�y of Everetl (rom any and all claims (or 1 damages, costs, expenses, or causes o( aclion that may arise � , �^ because of install2tion and maintenance of the improvement __ 1-'.- ��jl�I �'� �; � I� I or other righl-of-way use herelo applied for and further agrees i� L � � � lo remove same upon notice from the Cily and to replace Nppro�e or Constr�ott6n D. te public pro� y damag Ihereby. _��1,-C�-ll- z�C -►3 �' , � Z s �� F'INAL INSP TION Date Approved as Constructed Sign re ot Applicant Date WORK AUTHORIZED BY THIS P[RPiR h1U5T BE STARTED 1NITHW 180 DAYS OF DATE PERPIR IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURIiUED TO COh1PLEfION. THIS PERPIIT M. �Y �E UNCEILED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION.