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PUBLIC OORKS PERMIT • Date: 11/2/2015 <br /> Public Works Permit#: PW1511-002 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Jerry and Lana Weed Jerry,Lana and Adrian Anderson <br /> PO Box 1391 PO Box 1391 <br /> MUKILTEO WA 98275 MUKILTEO WA 98275 <br /> PHONE: 4255018525 PHONE: 4255018525 <br /> TAX PARCEL ID# SITE ADDRESS: 2805 Broadway <br /> Paving along edge of existing parking lot <br /> Less than 1000 sf <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. Retain perimeter landscaping as shown on sketch. <br /> 5. Keep City street clean at all times. <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction'' <br /> and with other inspection requests. � <br /> 7. Provide any necessary Erosion control for this project as directed by the City Public Works Inspectat,] Z <br /> tb o <br /> Ip�ml <br /> Public Works Fee Breakdown: P+ <br /> Misc minor permit$25 <br /> C a <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 /> A d r onstruc Date to remove same upon notice from the City and to replace <br /> p public pro damaged thereby. <br /> FI AL INSPE 10 Date 4—;it"— <br /> Approved as constructed Si ature 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 />