9509 7TH AVE SE 2018-01-02 MF Import

wr�ii7vr PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8810 OWNER NAME AND ADDRESS: FORDHAM DOUGLA3 L 9509 7TH AVE S E EVERETT WA 98208 PHONE: 4258300231 AX PARCEL ID # 28051800307700 DESCRIPTION OF PROPOSED WORK: DRIVEWAY FOR NEW HOUSE Date: 11/13/2012 Public Works Permit #: PW1211-007 Building Permit #, C1210-001 Planning Reference #: Public Works Fee S: $25.00 Other $: APPLICANT NAME AND ADDRESS: PHONE: SITE ADDRESS: 9509 7TH AVE SE PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed 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 1-- 4. Per approved plan. 5. Side sewer must be inspected. � r-- r✓ �. F- r r Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 forgUe06ris @ n5pftri8i Approved for Con ruction Date FVQAI INSPECTION Date Approved as Constructed v ra c, ��t ten'--n:i �i�roo•r �� �.7s�55�`�^SSbi M ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and !o replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.