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[ , _ PUBLIC WORKS PERMIT Date: 7 16 <br /> Public Works Permit#. PW1607 022 <br /> =J City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> 'J Everett, WA 98201 <br /> IF <br /> � 425 257-8810PlanningReference#:PublicorksFee$: $ 85.00Other $:OWNER NAMEANDADDRESS: APPLICANTNAMEANDADDRESS:ROBINETTMARTINH & LAUREENAROBINETTMARTINH & LAUREENA301COLBYAVE3601 COLBY AVEEVERETTWA98201EVERETTA98201PONE: 4252599000 PHONE: 4252599000 <br /> TAX PARCEL ID# 00417000500501 SITE ADDRESS: 2211 GIBSON PL <br /> SITE WORK FOR NEW SFR-ROBINETT <br /> Section 35 Township 29 Range 4 <br /> Quarter NW MAP OF DARLINGTON <br /> BLK 005 D-01 LOT 5 <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 8/1/2016 and Drainage Report approved on 7/26/2016. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. Call 425-257-8881 to request [�I <br /> an inspection on the inspection voicemail line. <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and <br /> remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> Public Works Permit Fee Breakdown: C <br /> Paving (3270SF) $45.00 �cJ iRC <br /> , \ <br /> PW Plan Review $20.00 E..� <br /> PW Site Inspection $20.00 NOV 2 3 2Q1�j cA <br /> CITY <br /> pc,rl��F��VERE <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> I 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 /> ;Iaitik a. 8 / zel( causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction D to remove same upon notice from the City and to replace public property <br /> damaged hereby. <br /> FINAL INSPECTION Date r( Z 34.4, <br /> Approved as Constructed Signatur ' ant Date <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 />