10315 19TH AVE SE SITE DEVELOPMENT 2016-01-01 MF Import

PUBLIC WORKS Date 7/19/2009 PERMIT PublicWorksPertnitq Poo4o,-0�4 Boar,�-o21 Builtling Permit k PUBLIC WORKS DEPARTMENT Planning Raference q 3200 Cedar Street Everen,WA 98207 Public Works Fee$ SB,530.0 q �azs�^<57-8810 OCT 1 7 2005 7 Guarantee 5 OWNERNAME I ANTNAME j�${DJw ANDPDDRESS: (�,�,5 116TH AVE NE t1Q0 ANDACDRESS� KIRIC7,AI�ID ilA 98033 PHONE: QZSB�24q6n PHONE: (O 3l$ -I yy A*+� SE C�� t' TAXPARCELI.D.a OO PROJECTAD�RESS: 10333 19T$ AVE SE NA DESCRIPTION OF MEDICAL CENTER PROPOSED WOPK: PERMIT CONDITIONS SEE ATTACSED 1. All calls tor inspection shall be made 24 hours in advance - phone (425)257-8810 2. All work shall be performed in accordance with this permit and current City of Everelt Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555 4. PER APPROVED YLANS DATE6 9-15-04 � � �/A VJ W _ , _ : /3� O + '��c :, �. ._ � O . . . . _ .� � - I�. N O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and , �f save harmless the Ciry oi Everett irom any and all claims for npproved or Consv iun. 05� age�,costs exp , causes of action that may anse ��-�-_.'-r.-_,�---�-- be use oi ins on and m 'ntenance of ihe improvement or oth r right-of•w use hereto plied for and furtlier agrees to /l /��iii%" /%lF�///,/E em ve same n otice o the Ciry and to replace public FINAL INSPECTION o am t Appmvetl as Constmc�etl Daie Q ^ ^ � 1 W � Sign plkant Date WOFK AUTHORIZEO BY THIS PERMIT AtUST BE STAHTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLE710N.THIS?ERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 OAYS DURATION.