Laserfiche WebLink
PUBLIC-JORKS PERMIT Date: 3/21/2016 <br /> -' Public Works Permit#: PW1603-047 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORT BILL CORT BILL <br /> 5819 S 2ND AVE 5819 S 2ND AVE <br /> EVERETT WA 98208 EVERETT WA 98208 <br /> PHONE: 4253444946 PHONE: 4253444946 <br /> TAX PARCEL ID# 28050500102300 SITE ADDRESS: 5819 S 2ND AVE <br /> ASPHALT PAVING <br /> LESS THAN 400SF. <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 /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 3/21/2016. ' <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. I=D <br /> 6. Install erosion control measures as directed by the Public Works Inspector and ;,t M"{ <br /> remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. O <br /> 8. Protect all existing underground utilities during construction. ,;F <br /> r.y <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits 400sfpaving) $25.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> Z/ ���� City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date 'll/ 'Z(/ Z l ;2 a <br /> Approved as Constructed <br /> pP 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 /> T'lF-, <br />