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PUBLIC WORKS PERMIT Date: 6/11/2014 <br /> Public Works Permit#: PW1406-010 <br /> City of Everett Public Works Department <br /> Tr • 3200 Cedar Street Building Permit#; B1406-016 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 3,596.38 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EVERETT CITY OF HARRISON MARK <br /> PARK DEPARTMENT CITY OF EVERETT <br /> EVERETT WA 98201 <br /> PHONE: PHONE: 4252578378 <br /> TAX PARCEL ID# 29051700402300 SITE ADDRESS: 3302 18TH ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> SITE WORK-JACKSON PARK <br /> GRADING, SURFACE & STORMWATER IMPROVEMENTS, UTILITIES, PERVIOUS & IMPERVIOUS CONCRETE & <br /> ASPHALT PAVEMENTS TO PKG LOT& NEW PKG BAY, CURB <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 /> Per approved plan. <br /> Your Public Works Inspector is Randy Allen. Call 425-339-7403 for any questions and/or inspections. <br /> 0 <br /> z <br /> Description Comments QTY Amount SSUErN\ E..1 <br /> PARKING LOT PAVING (SQFT) 7020 45.00 DEC 3 ZU14 <br /> 1=',.qPLAN REVIEW 74475 1117.13 <br /> PW SITE INSPECTION(EST) 74475. 2234.25 , <br /> CI. Y4I: :..vERETT <br /> EROSION CONTROL PLANS-COMMERCIAU'INDUST 200.00 Permit c.:Y;qices <br /> Bic( 1-0 Pa-45 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> _ or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> r: -• <br /> Appor onstr .t Date public property damaged the by. <br /> — 0 -4,4 I Li <br /> FINAL INSP% TION Date i�A/`� cJ <br /> Approved as Constructed S' nature of Applicant 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 />