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PUBLIC WORKS PERMIT Date: 3/27/2015 <br /> City of Everett Public Works Department Public Works Permit#: PW1503-046 <br /> 3200 Cedar Street Building Permit#; B1503-020 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 6,703.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SHAW MELVIN & MARY SHAW MELVIN &MARY <br /> 1020 148TH AVE NE 1020 148TH AVE NE <br /> BELLEVUE WA 98007 BELLEVUE WA 98007 <br /> PHONE: PHONE: 4254588863 <br /> TAX PARCEL ID# 00439160802702 SITE ADDRESS: 2602 BROADWAY AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR JIMMY JOHN'S/TRAFFIC MIT <br /> This Public Works Permit is to cover replacement of sidewalk on Broadway to meet new standards. <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 <br /> ...fi C'°5.:f3 <br /> 4. Install new sidewalk per city of Everett standard#306. Widths to be done as shown on plan SP-2 to confor to L <br /> the Broadway Streetscape Standards. <br /> L:,::: Gt:l'7» r.;1 :i.:h C.F:7 71:::1:1.11:7 g1.!::Ci» .2_, 17.1:1:,•r?'.2:Y-::ii;' ✓,..- <br /> a <br /> r> 1:_.17 r7 E CS}:1-";" ::C:.r--•a .':3 r_'=x _.: :`? <br /> 5, Tree wells to be constructed with root barriers perr;City stpard33;-s:;; ;p;-;' i <br /> 6. Work on Driveway approach to accomodate new sigpwailk9width shall be done per standard#308 or#309 ko C <br /> applicable. : „z <br /> 1 � <br /> 7. Contact the City of Everett Public Works Inspector Flandy Allen at 425-339-7403 prior to starting construction and <br /> with other inspection requests. ;IX) W ~ C <br /> {{,"9 .y,:§•i•�.`s... F—.,. I"._a:. 3..._.. l,.."..id'ir :.:r.T_ <br /> C_•d F_.••'•�.:•1 171-SO+Y r1•... 43:t .11 Cr, i::h',&•4:r Y.„:rl •i i C.:7 h-•"O <br /> 8. Keep City streets clean at all times. �7 �7 r a ' =' - a'"` " �"-'r'°. �'ars"`°=`''' <br /> � d L°t ate•.{,Y1 t..:•5 L.Nd c�.:+r.,;•a-6::•-c:ra 1.T.7 rr7 C:ri,._„� t�E.,...•• ..(�!f'r7 <br /> gr1 COr1?r1 .n; 1:j ^s ;:!.:.:��.'^'�1`•.: t'��cr;a+..:::a r,;:a'.••. 8 C.-a '-a C.�a <br /> �T,:7 I,,,I,:�r,....:� :J:]t_...�C;»�v"':r 1,_...,.•...C:!�.._s r.:Y.i[e»s[...:r.. '�•_...a.,_•. »_ <br /> Public Works Fee Breakdown: C <br /> Plan Review$20.00 -• ;= <br /> Inspection$20.00 <br /> Driveway$45.00 <br /> Traffic Mitigation$6618 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> / _ �� or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> App,r for Constru '•►7/ Date public property damaged thereby. <br /> F AL INSPE TIO' Date g/3/(7.04- <br /> Approved as onstructed Signature of Applicant Date <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 /> Com% <br />