2521 LOMBARD AVE 2019-02-11 - Laserfiche WebLink

PUBLIC WORKS PERMIT Date Applied: 4/3/2018 City of Everett Public Works Department Public Works Permit#: PW1804 003 3200 Cedar Street Parent Permit#: _ _ Everett,WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee: $45.00 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: IMMANUEL LUTHERAN CHURCH-EVERETT THOMSEN GLEN, TRUSTEE BOARD 2521 LOMBARD AVE CHAIRMAN EVERETT, WA, 98201 2521 LOMBARD AVE EVE' , ..r--, PHONE: 4252527038 • - *NE: 425252 038 TAX PARCEL ID#: 00439156600700 SITE ADDRESS lOMBARD AVE DESCRIPTION: CONSTRUCT FENCE IN RIGHT-O'-WAY 2.52-( MAXIMUM HEIGHT ALLOWABLE IS 6FT. THIS PERMIT TO BE POST • JOB SI A • L TIMES 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 for Development'. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. 4. The fence shall be no greater than 6 feet in height. 5. Protect all existing underground utilities during construction. Fence posts shall be at least 2ft away from any underground utility running perpendicular. Fence shall be no closer than 5ft to the water main along the back of the sidewalk. Locates must identify the location of the water main. 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with all other inspection requests. See attached to request an inspection. 7. This fence constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use of the right-of-way for municipal purposes. Public Works Permit Fee Breakdown: *3 Fence in R.O.W $25.00 PW Site Inspection $20.00 / / �/ r C , .i. F - 2-6T. ( 2- )-- Or 171 ,;$ / f �Z City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS Ja,itAlk / I The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs, ` 3 /Q expenses,or causes of action that may arise because of installation and O maintenance of the improvement or other right-of-way use here to applied Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. ,l �/ FINAL INSPECTION Date / --- / `� -3-Y69- Approved as Constructed (PW Inspector) 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 COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION.