Laserfiche WebLink
PUBLIC WORKS PERMIT Date: 2/3/2009 � <br /> Public Works Permit #: PW0902-001 <br /> ` City of Everett Public Works Department <br /> IW: � � 3200 Cedar Street Buildinq Permit #; 80811-021 w <br /> `-"'- Everett, WA 98201 <br /> " (425) 257-8810 Planninq Reference #: <br /> Public Works Fee $: S 45.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PEMC <br /> 1321 COLBY AVE <br /> EVEREI7 Wq 98206 <br /> PHUNE: 4252614556 PHONE: <br /> TAX PARCEL ID# 0O43�SZ47O1100 SITE ADDRESS: 1.13^ ^^'r`-.- -- _ <br /> DESCP.IPTION OF PROPOSED WORK: � 7QG ' I,3� S �' <br /> ACUTE CARE TOWER PEMC <br /> Si�e sewer connection to the sewer main on 13th street <br /> From the Acute Tower Building. <br /> PERIviIT CONDITIONS <br /> 1, All calls for inspection shall be made 24 hours in advance. <br /> 2 AII work shall be performed in accordance with the permit and current City of Everelt Design and Construction Standards <br /> and Specifications. <br />, 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4.Use saddle manhole. Include precautions and methods lo prevent leakage around the pipe penetrations <br /> 5. Use CDF as directed by the public works inspector. <br /> 6. Construct per revised sketch provided. s � <br /> r 3: <br /> � �"� <br /> �1a7�r� � <br /> .�Lq• m � P/� <br /> V.! -n �� Fy� <br /> � � O <br /> G <br /> �-- ". r <br /> i ��-� <br /> i <br /> : iF—� <br /> � <br /> � y <br /> �` � <br /> L"1 �� <br /> f.�, <f <br /> �--o—. r• <br /> Lf1GaLTl <br /> G O Q� L <br /> OU c� �� L <br /> -� L•! <br /> C]t <br /> 1-.`� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless ihe City of Everelt (iom any and all claims for <br /> damages, costs, expenses,or causes o(aclion that may arise <br /> ���� z- � 'Q n because of inslallation and maintenance of the improvemenl <br /> � or other righl-of-way use hereto applied(or and turther agrees <br /> A e I for Construclio Dale lo remove same upon notice from Ihe Gity and lo replace <br /> PP / q public property damag d Ihereby. <br /> G--r/�" �� �Z'�/ 2 <br /> �INAL INS CTION Date <br /> Approved as Consirccled Signalure of Appli D te <br /> WORK F,UTHORIZED BY THIS PERh1R h1U5T 6E STARTED WITHIN 180 DAYS OF DATE PER11(T IS I - AND THEREAFfER IS TO BE DILIGENTLY <br /> PLIRSUED TO COP1PLEl70N. THIS PERMIT P1AY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORN ON THIS PRO)ECT OVER 90 DAYS DURATION. <br /> L� <br />