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R = PUBLIC SORKS PERMIT Date: 5/13/2016 <br /> sf City of Everett Public Works Department <br /> Public Works Permit#: PW1605-015 <br /> 3200 Cedar Street Parent Permit#: B1604-047 <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 and current 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 }. : r; <br /> , Cr) <br /> 4. Civil construction work must be done per approved C1.1 plan dated 5-13 J�] =r_q=,co 7J-' --.-' <br /> �- :5 :3 y:•.-4 ;5:3 r^--•,....,t=` <br /> Building Department approved plans.) x m ». J c•: �7 W <br /> rri rte,-x•7 rr; c-5 ] <br /> 5. Drainage work shall conform to Stormwater Site Plan Report that was approved on t '� <br /> 5-13-16. ;i:7 "..:i 11,9 ]�/) <br /> rn ' ] `] <br /> 6. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339 ''404 t,,^ <br /> prior to starting construction and with other inspection requests. See attached trequesty <br /> an inspection. E ; ...;7-:-). <br /> . <br /> • :f <br /> 1:..".o Ei F¢r •fft V!-. •W. iJ. .gip ! <br /> C> r,..:)r- r..:2,. r.�r.yi _j-4.::.c .,:t-, <br /> ---1 :F")*r"iii ....Lr•.;.J1._ .nr-:v :a�.:,r..7 <br /> -.]"wq _ =a - "Cr7 S�3 •.J` �`'rT'C7 <br /> Iw <br /> :" <br /> �" Cr :Public Works Permit Fee Breakdown: 4 (,Y�--� <br /> Misc. Minor Permits $25.00 : 2 <br /> . <br /> Fro <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> TO TI \' `- A-0)9 Po <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> ' eactl,"2-- City of Everett from any and all claims for damages,costs,expenses,or <br /> 7 �j-�� causes of action that may arise because of installation and maintenance of the <br /> Ap oved 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 thereby. <br /> FINAL INSPECTION Date — j :f,ow , c. <br /> Approved as Constructed Signature of Applicant Da - <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 />