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•PUBLICtORKS PERMIT Date: 2/9/2017 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1702-015 <br /> 3200 Cedar Street Parent Permit#: C1701-015 <br /> Everett, WA 98201 Planning Reference#: SEPA15-001 <br /> (425)257-8810 <br /> Public Works Fee$: $ 1,265.00 <br /> a : <br /> 1 U i.C 4U 10 Other $: <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: 8323 5TH AVE W - <br /> PW FOR NEW TOWNHOME-DRIVEWAY-TRAFFIC MIT <br /> TOWNHOME#8 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: • :.,, <br /> Driveway $25.00 <br /> PW Plan Review $20.00 Z <br /> PW Slte Inspection $20.00 DEC 18 217 <br /> Traffic Mitigation $1,200.00 <br /> CITY OF EVERETT ["'I <br /> Permit Services <br /> C <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 /> 1 1 (wl 7- causes of action that may arise because of installation and maintenance of the <br /> 11 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 /�` , (� <br /> pP 9 <br /> tei <br /> Approved as Constructed Si nature of A licant / <br /> 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 /> F <br />