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(®®Z JUN 2017 <br /> PUBLIC NORKS PERMIT —4ateApprred: 4/28/2017 <br /> /2.44 Public Works Permit#: PW1704-049 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> trA 425 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> COOPER DEB COOPER DEB <br /> 7505 17TH AVE SE 7505 17TH AVE SE <br /> EVERETT,WA, 98203 EVERETT,WA, 98203 <br /> PHONE: - PHONE: 4259227650 <br /> TAX PARCEL ID#: SITE ADDRESS: 7505 17TH AVE SE <br /> DESCRIPTION: FILL IN DITCH ALONG ROADWAY AND INSTALL FENCE <br /> THIS WORK INCLUDES ADDING DRAIN ROCK IN EXISTING DITCH AND CONSTRUCTING A 6FT HIGH FENCE. <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. The applicant must meet with the Public Works Inspector to discuss potential drainage routing and other work prior to <br /> beginning the project. Call Jim Knappert at 425-339-7404. <br /> 5. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 6. Any damage to the City improvements shall be replaced at the direction of the City Public Works Inspector. <br /> 7. This fence constructed within the public right-of-way must be removed or relocated at the owner's expense if the City <br /> ever requires use of the right-of-way for municipal purposes. <br /> 8.Work to be done as indicated on plan dated 04/28/17. (Copy attached) i--'. •�-` '"p+ <br /> Public Works Permit Fee Breakdown: c <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 , - <br /> Drive j:,, $25.00 /?0 ,( — <br /> City o reit Offci Use O ly ACKNOWLEDGVIENT OF CONDITIONS <br /> The undersigned owner/appltigrit hit& es to hold and save <br /> harmless the City of Everett tara claims for darr�'ges,costs, <br /> c ,2 � expenses,or causes of actior�S �Y ecausf ation and <br /> / / _ maintenance of the improvement or other right-of-way a here to applied <br /> App • ed for Construction (Public Works) Date for and further agrees to remove same upon notice ftem-The City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date /11/:?Z of JAY/7 <br /> A <br /> Approved as Constructed (PW Inspector) Signaturepplica 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 />