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PUBLIC OPORKS PERMIT • Date: 7/28/2015 <br /> Public Works Permit#: PW1507-054 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 130.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SHORELINE INVESTMENTS INC TVC CONSTRUCTION SVCS LLC <br /> 11918 AIRPORT RD 5757 W MAPLE ROAD, STE 800 <br /> EVERETT WA 98204 WEST MI 48322 <br /> BLOOMFIELD <br /> PHONE: PHONE: 2064551756 <br /> TAX PARCEL ID# 00380900300202 SITE ADDRESS: 11918 AIRPORT RD <br /> DESCRIPTION OF PROPOSED WORK: <br /> Driveway, FH, & UTILITIES ON AIRPORT RD <br /> Driveway, fire hydrant, water main, and storm system improvements (proposed work and abandoment per plans). <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. This permit is restricted to only the portions of work within the Airport Road public right-of-way located with i-tithe'�'S i="? <br /> city limits of Everett. Site Civil Work to be done per plans approved by the City of Everett Public Works Departrr►Ent 1-6 <br /> dated 7/29/2015. r <br /> i� i'7'7 1'x-7.Z=(?'i h-• <br /> 5. All work on City of Everett jurisdictional facilities shall conform to Everett's Design and Cohstructiorfl8 ndaWs vt <br /> and Specifications. In particular, the driveway, curb, gutter and sidewalks shall be as per City of Everett standard <br /> plans 305A, 306 & 307. Pavement patching shall be as per standard plan 316. <br /> 6. Please contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pri�f to starting <br /> construction and with other inspection requests. See attached to request an inspection. ' <br /> Public Works Fee Breakdown: a `_' 7 r-3 <br /> Plan Review$20.00 <br /> Inspection $20.00 <br /> Commercial Driveway x2$90.00 <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 /> A/P ►�'�I/� 7 � because of installation and maintenance of the improvement <br /> � G- I or other right-of-way use hereto applied for and further agrees <br /> A roved for Construction Date to remove same upon notice from the City and to replace <br /> p public property age h by. <br /> 06 <br /> FINAL INSPECTION Date <br /> Approved as Constructed Oignature 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 /> r( Le, <br />