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PUBLICERIORKS PERMIT Date: 5/13/2016 <br /> City of Everett Public Works Department Public Works Permit#: PW1605-017 <br /> =-323200 Cedar Street Parent Permit#: B1604-048 <br /> J l: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MUKILTEO SCHOOL DISTRICT SCR ARCHITECTS/SCOTT CONNER <br /> 9401 SHARON DR <br /> EVERETT WA 98024 <br /> PHONE: 4253561222 PHONE: 2064587517 <br /> TAX PARCEL ID# SITE ADDRESS: 9600 SHARON DR <br /> INSTALL A SCHOOL PORTABLE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit andgcurrent City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 , Fa <br /> ,, �-) <br /> 4. Civil construction work must be done per approved C1.1 plan dated 5-1 6w.(s;�e,_,�a: =r,:, r,,-r,'C7 I=Y ....4 " <br /> Building Department approved plans.) r ' _lcn ' - ''3 6: r w <br /> :al: ,"X.a �_.)_..±..C'.)Mme._'- Yy... <br /> G-.i .._.,.i I'ri 74 i t:J G"7 F;') �� I <br /> 5. Drainage work shall conform to Stormwater Site Plan Report that was approved on - ; ,•-Y� <br /> 5-13-16. 'x' "r7 �2 <br /> ,= 4 <br /> r,-, -a ; <br /> 6. Contact the City of Everett Public Works Inspector Jim Knappert at 425-33i-$404 r <br /> prior to starting construction and with other inspection requests. See attached ire request 170 <br /> an inspection. ';- • -.'� <br /> C[a @ I'S� t•u} v.•ii r•. •Het.4w.e, <br /> cY r•ar,.�r.7 Zir•.�c.Y o c•...-.Y w-. <br /> -•.- cc)[.:'Y,..._Y C_.=l f_'"7"4.1 e FS..p%o•••u Y r••.:) <br /> 7 <br /> La!.:7-.2 <br /> ..a.. tlY <br /> Public Works Permit Fee Breakdown: <br /> '''..:3 <br /> a I'-' '``'`' '``' '`�"' `'''-" 'El=;'a <br /> Misc. Minor Permits $25.00 .g-. '7.1 <br /> PW Plan Review $20.00 ``-`rx' <br /> CA <br /> PW Site Inspection $20.00 O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> 42/145.v--ke--. 7—2‘--/‘ causes of action that may arise because of installation and maintenance of the <br /> A roved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> damaged there y. <br /> FINAL INSPECTION Date �.,te. Al____ —VP.Vito <br /> Approved as Constructed Signature of Applicant D <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />