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1 <br /> PUBLIC WORKS PERMIT Date: 2/9/2017 <br /> Public Works Permit#: PW1702-010 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1701-010 <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 2018 <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: 8305 5TH AVE W <br /> PW FOR NEW TOWNHOME-DRIVEWAY-TRAFFIC MIT <br /> TOWNHOME#3 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: D ® U <br /> O <br /> Driveway $25.00 <br /> PW Plan Review $20.00 _k Z <br /> PW Slte Inspection $20.00 JUL 1 3 2U LJ O <br /> Traffic Mitigation $1,200.00 <br /> CITY OF EVERETT <br /> Permit Services <br /> g3C.c)33(7.172 <br /> JU <br /> ACKNoWLEu( oN' • CONDITIONS <br /> The undersign:0 ner/applicant hereby-• =-s to hold and save harmless the <br /> JI�,�,, n A,,, y City of Everett T, aiYaTd (claims fo ages,costs,expenses,or <br /> J, &A& �������NN� Q/9 (�vt�( causes of action tY��pa e bet tsrtinstallation and maintenance of the <br /> / improvement or other rib lit- vrayo her to 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 <br /> I� <br /> Approved as Constructed Si ture of Appli ant ` D e <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND HEREAFTER IS TO BE DI GENTLY <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 />