123 69TH PL SE 2018-01-02 MF Import

a'r-�u r..7 PUBLIC WORKS PERMIT Date: 6/4/2013 Public Works Permit 1: PW1306-001 City of Everett Public Works Department 3200 Cedar Street Buildinq Permit fF; B1305-004 Everett, WA 98201 Planninq Reference (425) 257-8810 Public Works Fee $: $ 65.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: OWENS GREG OWENS GREG 123 69TH PL SE 123 69TH PL SE EVERETT WA 98203 EVERETT WA 98203 PHONE: 4253476436 PHONE: 4253476436 TAX PARCEL ID n 00392000003101 SITE ADDRESS: 123 69TH PL SE DESCRIPTION OF PROPOSED WORK: DRIVEWAY APRON FOR SHED l 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 4. Ok per approved plan dated 6.3.13. Your Public Works Inspector is Cliff Lindman. Call him at 425-339.7404 for questions ArfdlhBpectlohr n r�F-��ss rn tsp L�- ►�iy L'W 1 `O z P, O [Tj twIA^ r 'perp [T yIS SSH�I� O '^O I✓•1 Approved'for Date lon7 o..z_i3 FINAL INSPE ION Date I Approved as onslructed 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 hum the City and to replace public pro erty damaged thereby. Signature of Y pplicant 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