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PUBLICIORKS PERMIT mate Applied: 1/10/2018 <br /> "—" City of Everett Public Works Department Public Works Permit#: PW1801 025 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference It: <br /> (425) 257-8810 Public Works Fee: $45.00 <br /> 4 JAN 2018 ` <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SANCHEZ JOSE B SANCHEZ JOSE B <br /> 9730 18TH AVE W 9730 18TH AVE W <br /> EVERETT, WA, 98204-1432 EVERETT, WA, 98204-1432 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 00394900001700 SITE ADDRESS: 9730 18TH AVE W <br /> DESCRIPTION: FILL IN DITCH ON NORTH SIDE OF DRIVEWAY <br /> EXTEND DRAINAGE PIPE AND BACKFILL. <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 1/10/2018. 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 construct( I for a„, <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests!"-'`` w' `74 <br /> 6. Install and maintain erosion control measures (as needed) per City of Everett Standards andalnptIWOon j the PW <br /> Inspector. Remove upon completion of the project prior to final approval of the permit. � �:i i <br /> 7. KeepCitystreets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadwa,,i �� gra <br /> 8. Protect all existing underground utilities during construction. :;, <br /> 9. All work constructed within thepublic right-of-way must be removed or relocated at the owner's expense iffhe di Ever <br /> 9 Y pY«. <br /> requires use of the right-of-way for municipal purposes. "` <br /> 10. Work completed must be per City Standards and must be inspected prior to backfill. Final insp,Ktion to close out file <br /> permit is also required. <br /> fir. <br /> 111 r <br /> Public Works Permit Fee Breakdown: ; .•..; ; <br /> Misc. Minor Permits (Drainage Work) $25.00 ;°;;r-; <br /> PW Site Inspection $20.00 <br /> 1'•.t <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> I / 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 /> I 1 /6 ' expenses,or causes of action that may arise because of installation and <br /> �i/A-�� ! �` maintenance of the improvement or other right-of-way use here to applied <br /> pproved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace blic property damaged thereby. <br /> FINAL INSPECTION Date ! 19'0 11 <br /> Approved as Constructed (PW Inspector) 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 PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OFAWORKwON THIS PROJECT OVER 90-DAY DURATION. <br /> Frit <br />