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• <br /> Date: 2/9/2017 <br /> PUBLIC WORKS PERMIT Public Works Permit#: PW1702-009 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1701-009 <br /> Everett, WA 98201 Planning Reference#: SEPA15-001 <br /> (425)257-8810 <br /> Public Works Fee$: $ 1,265.00 <br /> Other$: 13 J U L 2U 8 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KULAGA AHMET&SEVALA KULAGA AHMET&SEVALA <br /> 1205 130TH ST SE UNIT A 1205 130TH ST SE UNIT A <br /> EVERETT WA 98208 EVERETT WA 98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> TAX PARCEL ID# 28041200302700 SITE ADDRESS: 8303 5TH AVE W <br /> PW FOR NEW TOWNHOME-DRIVEWAY-TRAFFIC MIT <br /> TOWNHOME#2 OF 13: THIS PERMIT FOR DRIVEWAY AND TRAFFIC MITIGATION FEES. SEPARATE PUBLIC <br /> WORKS PERMIT FOR ENTIRE SITE UNDER PW1602-048. <br /> SEC 12 TWP 28 RGE 04 <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 2/9/2017. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 <br /> prior to starting construction and with all other inspection requests. See attached to [� <br /> request an inspection. <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. Keep City streets clean at <br /> all times. <br /> Public Works Permit Fee Breakdown: 4 0 <br /> Driveway $25.00 <br /> PW Plan Review $20.00 JUL <br /> PW Site Inspection $20.00 JUL <br /> Traffic Mitigation $1,200.00 O <br /> CITgI OI: s = - ETT <br /> Permit Services <br /> C <br /> p-1 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> DAL 144.24A- <br /> improvement2 /� CityofEverettfromanyandall claimsfordamages,costs expenses,or...fe r / causesofactionthatmayarisebecauseof installationanmaintenanceoftheA rOVed for COt1StrUCtlOn Date/ or other right-of-way use hereto applied for and further agrees to <br /> Approved remove same upon notice from the City and to replace public property <br /> damaged hereby. <br /> FINAL INSPECTION Date )- i7/(e12' <br /> Approved as Constructed Si ture of Applican Dat <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 /> �C� <br />