2112 RUCKER AVE BELSHAW APTS 2018-01-01 MF Import

PUBLIC V�trORKS PERMIT Date: 8/31/2009 PublicC,xks Permit#: PW0908-053 City of=vere .�blic Worka Department guildinp Permit#; 60908-035 3200 Cedar Street Everett,WA 98201 Planninp Reference#: (425)257-8810 Public Works Fee $: $ 45.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: BELSHAW WILLIAM T 2111 RUCKER EVERETT Wq 98201 PHONE: 4252681527 PHONE: TAX PARCEL ID N 00439143202500 SITE ADDRESS: 2112 RUCKER AVE DESCRIPTION OF PROPOSED WORK: CHANGE B UNITS TO 5 UNITS PERMIT CONDITIONS 1. All calls for inspection shali be made 24 hours in advance. 2. All work shall be pertormed in accerdance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs betore you dig 70LL FREE NUMBER 811 4. No dirt, mud, rocks or debris to be tracked onto roadway. W 5. No buiiding materials to be stacked on roadway and roadway to be kept clean and open for pedestrian travel.� 6. Remove and replace curb, gutter and sidewalk as per City of Everett Slandard Plan#'s 305A 8 306 on this r � �"� proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and ari9'tffOkerT'aF" � x' � damaged area must be replaced). n��g��o �: � Call inspector Randy Allen at 425-339-7403 for inspection and it you have any questions 2Rjar��heses p � � � conditions. � rp j, � ,{ � � F�` �u N ��w JO �v��'s4i�� g::a �� r� ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedappi�cant hereby agrees lo hold and seve hermless the City of Everetl trom any end ell Geims for damages,cosls,expenses,or causes of edion thal may arise because o(instella!ion and mainlenance oi ihe improvement � c��oT� � ,�.�� or other righl-o4wey use hereto applied tor and tuAher agrees �� to remove seme upon notice from ihe City and to replace Ap vrop ed for Construction Date public property damaged th eby. FINAL INSPECTION Date ` � � �� / Approved as Constructed Signalure oi Applicanl Dale WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITHIN I80 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILiGENTLY PURSUED TO COMPLETION. THIS PERMR MAY BE CANCELLED BY THE CITY U°ON ANY STOPPAGE OF Y�ORK ON THIS PRO7ER OVER 90 DAYS DURATION.