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4 •*qt ^et17 <br /> V Via <br /> PUBLICORKS PERMIT Date Applied: 6/22/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1706-044 <br /> 3200 Cedar Street Parent Permit It: <br /> Everett,WA 98201 Planning Reference#: <br /> { 1 (425)257-8810 Public Works Fee: $523.63 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HOUSING AUTHORITY OF EVERETT HELTNE RANDY <br /> PO BOX 1547 <br /> EVERETT, WA, 98206-1547 <br /> PHONE: PHONE: 4252935613 <br /> TAX PARCEL ID#: 29051700103200 SITE ADDRESS: 2701 12TH ST <br /> DESCRIPTION: EVERETT HOUSING AUTHORITY RENOVATION PROJECT <br /> THIS PERMIT INCLUDES WORK ON THE WIGGUMS PARK PLACE. IT INCLUDES SITE IMPROVEMENTS, PRIVATE <br /> SIDEWALK REPLACEMENT, DRAINAGE CONTROL, RESUFACING PARKING LOT AND RESTIPING. <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 Civil Work to be done per plans approved by the City of Everett Public Works Department dated 07/18/2017. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. See attached to request an inspection. <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 7. A revised landscaping plan must be submitted prior to inspection. <br /> 8. A Planning inspection is required for this project. Please contact Kembra Landry at 425-257-8808 one week prior to the <br /> desired inspection date. <br /> t/U <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control $50.00 JUL 2 1 2017 <br /> PW Plan Review $157.87 <br /> PW Site Inspection $315.75 CITY OF EVERETT <br /> Permit Services <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 /> 41.2, _` I / 7-/ 4 / 7 expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> App oved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replac public property damaged th-reby. <br /> FINAL INSPECTION DateaV 17 <br /> Approved as Constructed (PW Inspector) Signature of Applicant Da e <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.f^ <br /> �` 1✓ <br />