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UBLICOORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />*Date Applied: 4/5/2018 <br />Public Works Permit #: PW1804-009 <br />Parent Permit #: <br />Planning Reference #: <br />Public Works o F,ee:M <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />ESCOBEDO INDALECIO <br />ESCOBEDO INDALECIO <br />1410 KOSSUTH AVE <br />1410 KOSSUTH AVE <br />EVERETT, WA, <br />EVERETT, WA, <br />PHONE: <br />PHONE: <br />TAX PARCEL ID #: 00394100200300 <br />SITE ADDRESS: 1412 KOSSUTH AVE <br />DESCRIPTION: SITE WORK FOR GARAGE CONVERSION TO ADU <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 Civil Work to be done per plans approved by the City of Everett Public Works Department dated 4/5/2018. Approved <br />plans must remain on job -site at all times. <br />, <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br />consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. ._, 4m, <br />6. Install and maintain erosion control measures per City of Everett Standa-rd&and-per the direction-of•th-e Pvi-inspp6ctor. <br />Remove upon completion of the project prior to final approval of-the_permit.r:= -::T"� " <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or 1a':t150.1' t0ad�nt r' C d-- :, <br />�.:: risI:,..,. <br />8. Protect all existing underground utilities during construction.-,!-'.' ? - <br />9. All work constructed within the public right-of-way must be removed or relociik at the owner's expense if 4 e Ciiy er <br />requires use of the right-of-way for municipal purposes. <br />10. This permit must be finaled in order to close out this permit/grab'a C rtificafe of Occupancy. Call the inspectiordirfe� to <br />request a Final for this permit when all items have been completed: <br />Public Works Permit Fee Breakdown: <br />Paving (ADU Parking Stall 10'x20'). $45.00 .......... r.:. _. _s �•.., ; ; •': <br />PW Plan Review ...................................... <br />��> �..;r, ; , rya `a-,.. � ".�, r•..;a , > '.�::. , >>_�:I <br />1-".� I:Mn6 1•••,:7 i::Cj ,iu:CC> C.Y.a iLY., n n <br />PW Site Inspection....................................$20.00 <br />) <br />I"•Jl <br />City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br />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 />Sp S9 expenses, or causes of action that may arise because of installation and <br />[Nl 0 <br />maintenan of the improvement or other right-of-way use here to applied <br />roved for Construction (Public Works) Date for and f r agr o remove same upon notice from the City and to <br />repla I c p e ged ther <br />��/J / / 0 <br />FINAL INSPECTION Date ` <br />Approved as Constructed (PW Inspector) Sign of App Ican 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 OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />f7LIE, <br />