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PUBLIC�ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />JONES JEREMY D/JONES NICHOLAS <br />3633 167TH PL SW <br />LYNNWOOD WA 98037 <br />PHONE: <br />TAX PARCEL ID # 00437857100900 <br />CONVERT GARAGE TO UNINHABITABLE STORAGE <br />* Date: <br />Public Works Permit #: <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />JONES JEREMY D/JONES <br />D���-7�-I PL SW <br />LYNNWOOD WA 98037 <br />PHONE: <br />SITE ADDRESS: 2519 BAKER AVE <br />10/2/2015 <br />PWW1510-001 <br />BW1508-003 <br />$ 85.00 <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. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />5. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be <br />managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way <br />and/or easements and the improvements located therein. <br />6. Pave to existing paving on Fulton Ave. <br />7. Contact the City o�` Everett f�uulic Works li�spect�r Randy Allen at 425-339-74U3 prior to starting construction <br />and with all other inspection requests. See attached to request an inspection. <br />Public Works Fee Breakdown: <br />Plan Review $20.00 <br />Inspection $20.00 <br />Asphalt Paving $45.00 <br />� C,,�Z�l�(�t � <br />Cons�tio � <br />'INAL INSF�C7TON <br />Approved as Constructed <br />l0 � <br />Date <br />�;� C�;. � I I i _ �. <br />,� �, � <br />� <br />, OCT 4 6 20'i5 ��.�; <br />�� <br />�� :IZ <br />ACKNOWLEDGEA,��NT OF Ck�3�fDITIONS <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 />public pr erty damaged thereby. <br />i,��� <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 />�� <br />