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Date: 9/9/2016 <br /> PUBLI 9/2016 <br /> ORKS PERMIT Public Works Permit#: PW1609-020 <br /> •� City of Everett Public Works Department <br /> %� 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JACOBSON ROBERT L REED ROBERT <br /> 2223 TAYLOR DR <br /> EVERETT WA 98203 <br /> PHONE: PHONE: 4253497016 <br /> TAX PARCEL ID# 00417000101002 SITE ADDRESS: 2223 TAYLOR DR <br /> SITE WORK FOR GARAGE AND BUILDING RENOVATION <br /> NW COR SD LOT TH S ALG W LN SD • <br /> LOT 234.60FT TPB <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 /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 9/9/2016. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. [tel <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and H <br /> remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> 8. Protect all existing underground utilities during construction. Existing trench drain and <br /> catch basin near garage to remain. <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new Z <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect szl <br /> neighboring properties, including the City's right-of-way and/or easements and theSD <br /> improvements located therein. <br /> Public Works Permit Fee Breakdown: .JAN 2 ? 2017 <br /> Misc. Minor Permits $25.00 <br /> PW Plan Review $20.00 CITY T <br /> OF EVERET <br /> PW Site Inspection $20.00 Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any'and all claims for damages,costs,expenses,or <br /> .'4 r.iA r/L p_ 004‘. causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date /\ji 41(/ <br /> Approved as Constructed Signature of Applicant ate <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 /> fF <br />