Laserfiche WebLink
PUBLIC WORKS PERMIT Date: 9/1/2016 <br /> Public Works Permit#: PW1609-001 <br /> City of Everett Public Works Department <br /> r, 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 170.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> LOPEZ-ZUNIGA LIDIA C PRICE BUSTERS PLUMBING <br /> 10707 9TH DR SE 3212 NE 167TH ST <br /> EVERETT WA 98208 LAKE FOREST WA 98155 <br /> PARK <br /> PHONE: PHONE: 2063341649 <br /> TAX PARCEL ID# 00470300000600 SITE ADDRESS: 10707 9TH DR SE <br /> EXTEND 8" MAIN APPROX 2070 PROVIDE SANITARY SERVICE <br /> SYSTEM DEVELOPMENT FEES WILL NOT BE REQUIRED DUE TO THE FACT THAT THIS IS AN EXISTING SFR <br /> EXTENDING THE SEWER MAIN. <br /> HENRICKSON ADD BLK 000 D-00 - <br /> LOT 6 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> F-i <br /> 4. Work to be done per plans approved by the City of Everett PubliC Works Department <br /> U y n W <br /> dated 01/09/2016. �► �-.:T <br /> 00 ;�2 <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 <br /> prior to starting construction and with other inspection requests. See attached to request <br /> an inspection. �— <br /> r•., O <br /> 6. All work shall conform to the City of Everett standards for this sewer installation. . <br /> i :- <br /> Consult with the City Inspector with regards to backfill and pipe material and traffic <br /> control. <br /> r.A..�}H Irl r'•.� <br /> 7.Restore street as directed by the City inspector. m ;. ! <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review.......................................$20.00 0 <br /> PW Site Inspection....................................$150.00 a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> / causes of action tha/, -of-way <br /> rise because of installation and maintenance of the <br /> improvement or, theuse hereto applied for and further agrees to <br /> Appr vedfor Construction Date remove same u n m the City and to replace7;/pr erty <br /> damaged there .FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />