10315 MERIDIAN AVE 2019-08-07 - Laserfiche WebLink

S PUBLIC lipRKS PERMIT 441s Permit 4/28/2017 City of Everett Public Works Department Public�tltlts Permit#: PW1704-051 1 ;,- 3200 Cedar Street Parent Permit#: ` �"` PlanningReference#: Everett,WA 98201 ` -a . - (425)257-8810 Public Works Fee: $0 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: MAI THANH-TUNG T MAI THANH-TUNG T 4419 115TH ST SE 4419 115TH ST SE EVERETT,WA, 98208 EVERETT, WA, 98208 PHONE: PHONE: 4252240154 TAX PARCEL ID#: 00396900004500 SITE ADDRESS: 10315 MERIDIAN AVE DESCRIPTION: CULVERT DITCH ALONGSIDE OF ROADWAY THIS WORK INCLUDES INSTALLING 38FT OF 12 INCH DIA PIPE/THIS THIS WORK DOESNOT INCLUDE WIDENING THE DRIVEWAY THIS PERMIT TO BE POSTED ON JOB SITE AT ALL 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 contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning the project. Call Jim Knappert at 425-339-7404. 5. No dirt, mud, rocks, or debris to be tracked onto roadway. 6. Any damage to the City Sidewalk or other improvements shall be replaced at the direction of the City Public Works Inspector. 7.Work to be done as indicated on plan dated 04/28/17. (copy attached) Public Works Permit Fee Breakdown: PW Plan Review $20.00 PW Site Inspection $20.00 Misc Minor Prer,its And/Or Plan Reviews $25.00 9— &tit 181 "in-' / PC elje" 1-7t /°7/1/vii City of Everett Official se Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save I 7AM' harmless the City of Everett from any and all claims for damages,costs, �, . �j� / �/ expenses,or causes of action that may arise because of installation and ""�=—"". ��-�-� /� maintenance of the improvement or other right-of-way use here to applied Ap. . ed .r Constru • °�. 'Works) D e for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date 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.