2910 19TH ST 2016-01-01 MF Import

PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everetl, WA 98201 (42�) 257-8810 Date: 1 /812013 Public Works Permit #: PW1301-004 Buildinq Permit #; 61301-003 Planning Reference #: Public Wnrks Fee $: $ 25.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: CABLE CLAY & PANDORA 2910 19TH ST EVERETT �/yq 98201 PHONE: 4257600717 PHOPiE: TAX PARCEL ID # 0055310C300500 SITE ADDRESS: 2°1019TH ST DESCRIPTION OF PROPOSED WORK: PAVING PERMIT COP�DITIONS 1. All r.alis for inspection shall be made 24 hours in advance. 2. All work shall be , accordance with the permit and current City of Everett Design and Construction and Specifications. 3. Call Location Un�f�ig� uund 5ervice 48 hrs before you dig. TOLL FREE NUMBER 815 4. Pave from alley to garage doors. Your Public Works Inspector is Randy A�!en. Call him at 425-339-7403 for questions and in�pestions— �-- . G�' / � -5-/� Date -1[(J2 TSC � (5;- r �, T_ CJOr� G f�l n _ J • :7 �1 G) Standards -., ._, � � 0 F�-` C !I L+ 1� Cn O p.l �' a ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlapplicant hereby agrees to hold and save harmiess the Cily ol Everett from any and all claima (or damages, cosls, expenses, or causes of action that may arise because of inslallation and maintenance of the improvemenl or other righl-of-way use hereto applied for and lurther agrees to ove same upon notice (rom lhe City and to replace pu i roperty damaged ihereby. � � �' l / � Si alu e of A plicant Date � �, ' .� r �, WORK AUTHORIZED BY THIS PERMiT MUS7 BE 57ARTED WITHIN 180 DAYS OF DATE P IT IS ISSUED AND THEREAF7ER IS TO BE DILIGEPfTLY �`�� PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THF. CCTY UPON ANY SfCPPAGE OF WORK ON THIS PRO]ECT OVER 9� DAYS DURATION. i