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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 3/25/2016 <br />Public Works Permit #: PW1603-060 <br />Parent Permit #: <br />Planning Reference #: <br />Public Works Fee $: $ 7,830.40 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />MOIR RON MOIR RON <br />5302 EAST DR <br />EVERETT WA 98203 <br />PHONE: 4255307024 PHONE: <br />I TAX PARCEL ID # I SITE ADDRESS: 5302 EAST DR <br />TRAFFIC MIT AND FRONTAGE CONTRIBUTION <br />THIS PERMIT DOES NOT COVER ANY CONSTRUCTION WORK. IT IS USED FOR FEE COLLECTION ONLY. <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 />Public Works Permit Fee Breakdown: <br />TRAFFIC MITIGATION 5 LOTS X $900 = $4500 <br />FRONTAGE CONTRIBUTION 83.26' X $40=$3330.40 <br />T�LE <br />�siCM <br />'-- �,/ "C� - ? - - 2 <br />Ap roved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />r--I <br />� <br />� <br />H <br />.a-: <br />--:]0 jai .• <br />J a t:� 4 Ut'.n� <br />Z <br />8 0 81�, <br />Cry <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 />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 />remove same upon notice from the City and to replace public property <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 />