7007 SEAWAY BLVD 2019-02-06 - Laserfiche WebLink

s Application For ,,. PUBLIC WORKS PERMIT Date �/ r44 41ETT PUBLIC WORKS DEPARTMENT Public Works Permit# q5/Z37 3200 Cedar Street • I I Everett,VISA 98201 259-8810 I 1 Building Permit# ' jir E OR PRINT ONLY 1 Public Works Fee$ :.M/ b Clay Bush Fluke Mfg Co PO Box 9090 Everett WA 98206-9090 Owner Mailing Address ° City Zip Phone Snohomish County Airport °` y Lennie Rae Cooke 3220 100th St SW Everett 9820$ 353-2110 X2239 Applicant Mailing Address City Zip Phone Describe Proposed Work sitework for Narbeck Wetland-:Sanctuary w CO PROJECT ADDRESS(if known) •• 7007 Seaway BlvdCO Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: 0 'Property Lines 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities 'Centerline of street 'Indicate North 'Show any proposed grading changes •Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: Z 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O n2.All work shall be performed in accordance with this 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 1-800-424-5555. limim 4, Th 1-5 pe r•rn f L CatiCr'� 9 r ,/,G f r e mous;eyi ca-i•&rv/ ora 17 - �, i),►1 k ixrer,;L �/:1I 1,;� .0- :5.i e. (4 11 041-11 ee- c,.vi 1 O 5 Lc ;,L/or k. Ali r( t.✓ I)c L'v,? C p e - II . ACKNOWLEDGEMENT OF CONDITIONS ...-'"e7 The undersigned owner/applicant hereby agrees to hold and save harmless --�' 1 _ ' _ the City of Everett from any and all claims for damages,costs,expenses,of f J causes of action that may arise because of installation and maintenance o, roved onstruction Dat: the improvement or other right-of-way use hereto applied for and further agrees n. to remove same upon notice from the City and to replace public property damaged thereby. '—IAL INSPECTION Date Approved as Constructed `t. ,r �; c''t /:--a ;---1j."V/A-1---",---S"$<'1 P` (---; - :•—e 1/ ' 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.