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M 119 JUN 2M <br /> PUBLIC ORKS PERMIT Date: 10/21/2016 <br /> Public Works Permit#: PW1610-032 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1610-008 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WATSON DORA&JEFFREY A WATSON DORA&JEFFREY A <br /> 3121 TULALIP AVE 3121 TULALIP AVE <br /> EVERETT WA 98201-4153 EVERETT WA 98201-4153 <br /> PHONE: PHONE: 4255124611 <br /> TAX PARCEL ID# 00583972701100 SITE ADDRESS: 3121 TULALIP AVE <br /> SITE WORK FOR SFR ADDITION <br /> THIS PERMIT INCLUDES DRIVEWAY CONSTRUCTION,DRAINAGE REVIEW AND EROSION CONTROL. <br /> STANFORD LAND CO S ADD TO <br /> EVERETT BLK 727 D-00 - LOTS <br /> 11-12-13 <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. The contractor must meet with the Public Works Inspector to discuss potential <br /> drainage routing and other issues prior to beginning the project. Call Randy Allen at w <br /> 425-339-7403. ["'I <br /> F�1 <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. 0 <br /> 7. Site Civil Work to be done per plans approved by the City of Everett Public V1�orlke-.,, <br /> Department dated 11/03/2016. S r ; <br /> Public Works Permit Fee Breakdown: jutA 9 2olt <br /> 1 13 <br /> PW Plan Review$20.00 <br /> PW Site Inspection $20.00 ®� ��E� ' i <br /> Concrete Driveway$25.00 CITY Set <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 /> c&O--11)1 l --3 -1 ,6 causes of action that may arise because of installation and maintenance of the <br /> A roved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date 0/f//'? <br /> Approved as Constructed Signatur f 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 />