2021 LEXINGTON AVE 2018-03-07 - Laserfiche WebLink

• � �/�� PUBLIC WORKS PERMIT Date: 1/5/2017 Public Works Permit#: PW1701-005 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: �' / 7i'Z • t�t`'� Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee $: $ 65.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: HAACK BROTHERS INC JACOBS RACHEL 3922 87TH AVE NE MARYSVILLE �/�/q 98270 PHONE: 4253977360 PHONE: 4259034852 TAX PARCEL ID# 00495000502100 SITE ADDRESS: 2021 LEXINGTON AVE A B SITE WORK FOR CONSTRUCTING NEW DUPLEX THIS PERMIT COVERS UTILITY CONNECTIONS (SEWER,WATER, DRAINAGE) AND CONSTRUCTION OF A DRIVEWAYS TAKING ACCESS FROM THE ALLEY TO THE WEST. LANGS 1 ST ADD TO EVERETT BLK 005 D-00 - LOTS 21-22-23 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 Department dated 03/15/2017. w E"� 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior � to starting construction and with other inspection requests. � Public Works Permit Fee Breakdown: 0 Misc. Minor Permits.........................$25.00 � � PW Plan Review......................................$20.00 � $ `�- � ��? �..� '��:��r � � PW Site Ins ection.................................$20.00 " ; � "f p � 0 � A��`y � � �� "� ,.1 L 4 �' P � ��' ! �k- �'1 r�;;.: O � 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 ,�2 ,`� � • �J—� 7 causes of action that may arise because of installation and maintenance of the A ved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to pp remove same upon notice f�m the City and to replace public property ged ereb FINAL INSPECTION Date �� !/ ��'-\� Approved as Constructed igna re pplicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF E PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.