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• • <br /> , . 03 Old 1 ,A11, <br /> ' � Date: 4/1/2016 <br /> PUBLIC WORKS PERMIT Public Works Permit#: PW1604-001 <br /> 7 City of Everett Public Works Department <br /> ..,1-- -, ..-1 3200 Cedar Street Parent Permit#: <br /> J_: J <br /> i• Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 2,967.08 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> LASALLE JONES LANG MCINTYRE KEN <br /> 225 108TH AVE NE STE 550 1724 W MARINE VIEW DR#140 <br /> BELLEVUE WA 98004 EVERETT WA 98021 <br /> PHONE: 4252520138 PHONE: 4254866533 <br /> TAX PARCEL ID# 00582101700200 SITE ADDRESS: 1800 41ST ST <br /> PKG LOT EXPANSION & STORM DRAINAGE <br /> NO FINAL <br /> APPROVAL <br /> JUN 12 2023 <br /> PERMIT CONDITIONS ARCHIVED <br /> 1. All calls for inspection shall be made 24 hours in advance. . S <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design an. Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 H ; <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works ,-- h- f---,---` t-` r„_, <br /> Department dated 10/12/2016. C.)r1_ r;Ir;!;4:-3 .- <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior ►_, �,, <br /> .rn --± 1--a I--• <br /> to starting construction and with other inspection requests. _ C.)<---- - ) '~ <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. '_I40 `I <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto r -`L•1 elyIN <br /> roadway. <br /> -,1 O <br /> 8. Protect all existing underground utilities during construction. ,-�., - <br /> .•..:1-.. :'.ti'► •Eft•,. Fri <br /> .....: --3 o- •Ert I—. r^.� <br /> Public Works Permit Fee Breakdown: ,• r,'--' ,,.y rj`-,� , :-' <br /> Erosion Control Plans-CommerciaVlndust $200.00 w ,~� i--}}--•,=s <br /> Parking Lot Paving (24,835SQFT) $124.18 • • y i- �� <br /> Grade/Fill/Excavate $50.00 I <br /> PW Plan Review $864.30 Ii <br /> r. i " i <br /> ���ri O <br /> PW Site Inspection $1,728.60 `, a <br /> y <br /> Tt OF iin ? Pr ET <br /> Perm i, J:t� �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 rp! r / 6 i Ki 4 causes of action that may arise because of installation and maintenance of the <br /> • ed for Construct n Date improvement or other right-of-way use hereto applied for and further agrees to <br /> App remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date e- r LI/3/7 <br /> Approved as Constructed pp <br /> Signature of Applicant Date <br /> 9 <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 />