1815 13TH ST 2016-01-01 MF Import

PUBLIC WORKS PERMIT Date: 5/15I2013 �� Public Works Permit#: PW1305-007 City of Everett Public Works Department 3200 Cedar Street Buildinc7 Permit#; �'- � Everett, WA 98201 Planninq ReFerence#: SEPA12-042 (425) 257-8810 Public Works Fee $: $ 3,844.90 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PROVIDENCE HEALTH 8 SERVICES �{'�321 COLBY EVERETi WA 98206 PHONE: PHONE: TAX PARCEL ID tt 29051700211300 SITE ADDRESS: 1815 13TH ST DESCRIPTION OF PROPOSED WORK: PEMC CUP EXPANDED PARKING LOT-PRMC 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 Conslruction Standards and Specifications. 3. Call location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Per approved plans. „ �, r•� Gl�, Your public�.vorks inpsector is Randy Allen. Please call (425)257-7268 for any inspections or qve58oh5. � �� �T� T ' C"l�� a �- �� /� r .-e T i—Ci '� V 1 � UJ C E9 [:1 G u G� W G T G � � �Ln � �� G� 1 ,� ro � � G r-� � �� O w �s.�+ -1 �.��ar� c �° �� I r,�i�_ .mo � �o�oo`d' o� o �r.c+t ��r r.� q r:� I•+i� �..•T ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlapplicant hereby agrees lu hold and save harmless lhe City o(Everett from any and ali claims for damages, cosls, expenses, or causes of action that may arise i because o(installation and maintenance o(the improvement ��, �� or other righl-o6way use herelo applied tor and furiher agrees b remove same upon notice rom the City and lo replace Appr d r C n ucli Date public prope y dam e th b . /z � 3=13 �� S,�`�'3 INAL INSPE ION Date Approved a5 Constructed Signalure of Applicant Date WORK AUTHORIZED BY TNIS PERMIT MUST BE STARTED WITHIN I80 DAYS OF DATE PERNCf IS ISSUED AND THEREAFiER IS TO BE CiLIGENTLY � PURSUED TO COMPLEf10N. TH15 PERh1IT htAY BE C1�NCELLED BY THE CffY UPON ANY STOPPAGE OF WORK ON THIS PRO)ECT OVER 90 DAYS DURATION. I —