215 W MUKILTEO BLVD 2017-07-28 - Laserfiche WebLink

PUBLIC WORKS PERMIT Date: PWI6016 Public Works Permit#: PW1608-024 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee $: $ 65.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: OUR SAVIORS LUTHERAN CHU OLYMPIC GENERAL CONTRACTORS/ DALE PO BOX 2927 2110 MADISON STREET EVERETT WA 98203 EVERETT WA 98203 PHONE: PHONE: 4253170851 TAX PARCEL ID# 29043600100300 SITE ADDRESS: 215 W MUKILTEO BLVD INSTALL FIRE SERVICE FROM HYDRANT TO BUILDING THIS PERMIT IS FOR INSTALLATION OF THE VAULT AND DCDA AND APPROVAL OF THE CONNECTION TO THE CITY WATER SYSTEM. THE CITY WILL MAKE THE CONNECTION ON THE MAIN AT THE HYDRANT AND INSTALL THE DETECTOR METER. 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. Site Civil Work to be done per plans approved by the City of Everett Public Works w Department dated 08/11/2016. 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior M"y to starting construction and with other inspection requests. See attached to request an inspection. 6. Contact the City Fire Department regarding additional inspections. O Public Works Permit Fee Breakdown: Z Misc. Minor Permits...............................$25.00 O PW Plan Review.......................................$20.00 PW Site Inspection....................................$20.00 �••� 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 Approved for Construction Date remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed 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.