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i;• <br /> . <br /> Yr <br /> /(331 ,37j n 98f <br /> _ . <br /> Date: 9/9/2016 <br /> j 541, — <br /> PUBLIC WORKS PERMIT <br /> City or Everett Public Works Department Public Works Permit#: PW1609-019 IO LETTERING SHALL BE REF1ECl7VE 1N NATURE <br /> ,� F 3200 Cedar Street Parent Permit#: TTERS ON 14H/7E BACKGROUND <br /> Everett,WA 98201 E <br /> (eret 257 8810 Planning Reference#: STOVS TE BE Nor LESS THAN 4 FEET NKR <br /> Public Works Fee$: $554.00 WAN 6 FEET FROM THE WOUND <br /> Other$: SHAH BE A AINI1NNAll BE 2 t.Y1 GALVANIZED <br /> aR 4 r X 4'PRESSURE TREATED WOOD. <br /> ?,N ER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ESKE FRED BRESKE FRED DBE PLACED SD THEY FACE 77E CVRECR ON <br /> _'FOSTER SLOUGH RD 6621 FOSTER SLOUGH RDS <br /> -DMISH WA 98290 SNOHOMISH <br /> WA 98290 <br /> iONE: 2067159581 PHONE: 2067159581 <br /> PARCEL ID# 28042400405700 SITE ADDRESS: 2 112TH ST SW Q FIRE LANE SIG <br /> STALL PRIVATE ROADWAY FOR 2 NEW DUPLEXESler <br /> NOT TO SCA <br /> • <br /> A'JNAGE•SEWER CONNECTIONS AND WATER SERVICES. <br /> -_-"WATER DEPARTMENT WILL INSTALL A NEW FIRE HYDRANT AND FOUR ONE INCH WATER SERVICES CB R <br /> -E=EVELOPERS EXPENCE. IE 12 <br /> IE 12' <br /> OIE 8 <br /> > CONDITIONS •SIPRIVATEZED TO MNESEET <br /> '-_::s cV,inspection shall be made 24 hours in advance. OIY DEMAND FOR <br /> 411 <br /> i w.:::shall be performed in accordance with thepermit and current Ci of Everett Designham,• <br /> -:a_.ciications. city and Construction Standards SY57ES <br /> al motion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 I IE 18" <br /> _ _-:ud,rocks,or debris to be tracked onto roadway. ADS 507.00 <br /> =.v Work to be done per plans approved by the City of Everett Public Works <br /> -- -.;dated 04/05/2017. y <br /> —7 the City of Everett Public Works Inspecto Jim Knaoertp ';'-4----7----..-,T0-..,-.'2 H - t_ 'c <br /> ..ng construction and with other inspection requests.See attached to requestMINN . <br /> a:=on. PP _ GRAVEL <br /> O ill�J. <br /> ___ age to the City Sidewalk or other improvements shall be replaced at the 0 - IN nem ay <br /> Li 4 <br /> of the City Public Works Inspector. <br /> z r. <br /> s_-e applicant/owner's responsibility to ensure that stormwater runoff from new n 1 <br /> -;':,us surfaces will be managed on-site in a manner that does not adversely affect -N3 V M O 5 7g•$$ <br /> IN <br /> onng properties. . <br /> t. <br /> :Works Permit Fee Breakdown: APR O 1 2017 O '..2.1-1----------1 4r <br /> $45.00 _ _rn 601 CONC. ++ • <br /> n Review $153 00! on Control $50.00 <br /> CITY OF EVERETT a41ev I <br /> \\ <br /> Site Inspection $306.00 Permit Services �@ • I s <br /> ACKNOWLEDGEMENT OF CONDITIONS W <br /> /� The undersignetl owner/applicant hereby agrees to hold and save harmless the �b33 <br /> (� /.'n_ /2 Ciry of Everett from any and all claims for damages,casts,expenses,or <br /> /�LfL '/'LOfrf�^ 4-5--/7 causes of action that may arise because of installation and maintenance of the y„ I <br /> c ved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to a! <br /> remove same upon notice from the City and to replace public ;,' <br /> damaged thereby. property <br /> ...+.a <br /> AL INSPECTION /` O <br /> (roved as Constructed Date c ',/r rel.7� /•'-'7— <br /> /7 <br /> Signature o Applicant/r/ Date --,...,',i, <br /> AUTHORIZED BY THIS PERMIT MUST RE STARTED WITHIN 180 DAYS OF DATE PERMIT IS fSSI'PD",NG THEREAFTER IS TO BE DILIGENTLY ',rr I s ''W <br /> ED TO COMPLETION THIS PERMIT MAY BE CANCELLED BY THE CITY uPC J ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION, !I M <br /> yrs <br /> 41.00' 1:i;',‘ <br /> 38.00' r? t� ,, it <br /> ���! <br /> I r <br /> J . <br />