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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: 5/11 /2015 <br />Public Works Permit #: PW1505-019 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 1,013.22 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />SIMION NEAMTIU LUCIA NEAMTIU <br />10413 MERIDIAN AVE 10413 MERIDIAN AVE <br />EVERETT WA 98208 EVERETT WA 98208 <br />PHONE: 4253507879 PHONE: 4253507879 <br />I TAX PARCEL ID # I SITE ADDRESS: 10325 MERIDIAN AVE <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT IMPR <br />CONSTRUCTION OF SIDEWALK AND UTILITY CONNECTIONS FOR A TWO LOT SHORT PLAT. <br />SHORT PLAT #1202-2012-001 <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 Department on 6/2� J201 <br />W. <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to startinc 5ns ctio <br />H <br />and with other inspection requests. See attached to request an inspection. 1� <br />r1 <br />6. Any runoff from the frontage improvements on 104th St SE at the east end of the project shall be directed io, L, <br />the street, and not into the undeveloped right-of-way associated with the adjacent single family home 0332 1st <br />Drive SE. <br />0 <br />7. Upon final acceptance by the City of Everett for the completed construction activity of the publicAm )-?.a ments, E <br />'�I�.ot <br />the owner must provide a warranty guarantee for the. constructed street. improvements.' The short. plgt be <br />recorded until the conditions of the warranty have been met upon completion of the warranty duratiarta(ar). <br />t <br />p zj C_-s'x <br />4 X:` <br />XI <br />Public Works Fee Breakdown: —; <br />Paving $45.00 <br />Plan Review $322.74 <br />Inspection $645.48 a� <br />Approved for Co <br />6-a6 <br />Date <br />FINAL INSPECTION Date <br />Approved as Constructed <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 />Lbriproperty damaged ther by. <br />Signature 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 />F vi <br />