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PUBLIC-ORKS PERMIT Applied: 8/27/2018 <br /> #41P4.600000-41 City of Everett Permit Services Public Works Permit#: PW1808-062 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> 714-401 W./ <br /> (425)257-8810 Public Works Fee: $45 <br /> I OCT 240/ <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> TIFFANNI STROY TIFFANNI STROY <br /> 5701 1st Ave S.E. 5701 1st Ave S.E. <br /> EVERETT, WA, 98203 EVERETT, WA, 98203 <br /> PHONE: 4045101139 PHONE: 4045101139 <br /> TAX PARCEL ID#: 00795300004200 SITE ADDRESS: 5701 1ST AVE SE <br /> DESCRIPTION: PUT METALLIC SERIES CORTEN STEEL PLANTER BOX <br /> (9/14/2018 11:07 AM BES) <br /> PUT METALLIC SERIES CORTEN STEEL PLANTER BOX BEHIND THE SIDEWALK. CEMENT DRIVEWAY IN SIDE <br /> SETBACK WITHOUT PERMITS. <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site work to be done per plans approved by the City of Everett Public Works Department dated XX/XX/2018. Approved <br /> plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. <br /> 6. Install two"Metallic Series Corten Steel Planter Box" at the back of sidewalk. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and <br /> Edward Golden 425-257-8561 from code inforsement. <br /> 9. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as <br /> directed by the City PW Inspector <br /> Public Works Permit Fee Breakdown: ��' � '"'� <br /> Misc Minor Permits And/Or Plan Reviews $25.00. <br /> PW Site Inspection $20.00 QCT 1 � ' <br /> 11) <br /> Cay iOFEF�F .�. <br /> 111 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> vamp �� expenses,or causes of action that may arise because of installation and <br /> ...Ji �-� / - �r� maintenance of the improvement or other right-of-way use here to applied <br /> •p"d for Constructi,y�/`'ub is Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace publi • = dam.• • thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />