Laserfiche WebLink
PUBLIC ORKS PERMIT Date: 8/21/2013 <br /> Public Works Permit#. PW1308-014 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 40.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BARTON KELVIN <br /> 9540 SEMIAHMOO PKWY#112 <br /> BLAINE WA 98230 <br /> PHONE: 3609271112 PHONE: <br /> TAX PARCEL ID# 00606400005300 SITE ADDRESS: 415 OLYMPIC BLVD <br /> DESCRIPTION OF PROPOSED WORK: <br /> UNCOVER END OF DRAINPIPE <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. CONTRACTOR MUST CONTACT INSPECTOR RANDY ALLEN @ 425-339-7403 PRIOR TO STARTING ANY <br /> WORK. i,i i; <br /> 5. KEEP ROADWAY CLEAN OF ANY DIRT, ROCKS OR DEBRIS. <br /> CD <br /> CY} <br /> r- <br /> 4"D $ <br /> t ;.A <br /> 6;S' <br /> ACKNOWLEDGEMENT <br /> �a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> G 2 2 or other right-of-way use hereto applied for and further agrees <br /> Approved f r Con ru o Date to remove same upon notice from the City and to replace <br /> pP public property damaged thereby. <br /> 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 /> �� Ll� <br />