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� <br />�- <br />E � T3'" <br />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 />BEKRIS, SOTIRIS N <br />12321 42ND AVE NE <br />SEATTLE W/� 98125 <br />PHONE: 2063356436 <br />TAX PARCEL ID # 28050700202300 <br />ACCESSIBLE PARKWG STALL <br />• Date: 8/10/2015 <br />Public Works Permit #: PWW1508-001 <br />Building Permit #; BW1506-005 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />BEKRIS, SOTIRIS N <br />12321 42ND AVE NE <br />SEATTLE �/�/q <br />PHONE: 2063356436 <br />98125 <br />SITE ADDRESS: 7318 EVERGREEN WAY <br />PERMIT CONDITIONS <br />1. All calis 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 (as modified) by the City Public Works Department dated <br />10/01 /2015. ' <br />5. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />6. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for <br />pedestrian travel. <br />7. Cont�ct thc City of Everc�tt Puhlic W�rks Ins�ector Jim Knappert �t 4?_5 339-7�0�1 �ri�r to starting construction <br />and with other inspection requests. <br />, ; ,, <br />Public Works Permit Fee Breakdown: <br />Public Works Site inspection $20.00 <br />Public Works Plan Review $20.00 <br />Misc. Public Works (striping, stairs, conc restoration) $25.00 <br />�oved for Co <br />� - <br />��, 1 <br />FINAL INSPECTION <br />Approved as Constructed <br />�t ��-�`a2��.s <br />Date <br />Date <br />-��o-1S <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 />publi J pe y dama ed thereby. <br />��, , y � '-� �.� � _� <br />Signature of Applican 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 />�-�+�6 <br />