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� <br />����,�, <br />,��I���' TT <br />PUBLIC �ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />� Date: 12/29/2015 <br />Public Works Permit #: PW1512-030 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 115.00 <br />Other $: <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be pertormed 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 .:�.�a ;:� <br />4. Driveway runoff shall be infiltrated and/or dispersed into existing vegetation on the:�ot_� -,�, -r, --, �, ��, �, r- y <br />�.. ., r r= :--_ —, �- r: r�, <br />Runoff from driveway shall not be directed as to not impact the adjacent properties.��; �J m��� �' °--� <br />�_, .1-, �_„ � -� �� ... -, .�:=: <br />� _._,. .,..__ �--i �- I-'� i <br />_.._ <br />.._.. ' .._! �' <br />5. Any grading on this site for the driveway shall be done so as not to impact the �� ,_--- <br />surrounding properties. <br />6. Contact City of Everett inspector Randy Allen 425-339-7403 prior to starting <br />construction. <br />Public Works Permit Fee Breakdown: <br />Driveway/Asphalt Apron No C&G $25.00 <br />Erosion Control Plans (Other) $50.00 <br />PW Plan Review $20.00 <br />PW Site Inspection {EST) $20.00 <br />CO <br />�"INAL INS�CTION <br />Approved Constructed <br />� <br />� � --1;� <br />Date <br />=::;�;= „ <br />;�,: „ <br />_.;,�. <br />�,�� ; ' <br />-� ;� i:t+ 'tF,4 i-1=1� i_i:4 n .tF,F .F_F;� <br />� : f'�.J 1�?j L1 � .Tl (''.�1 <br />'.T� �� +. ....) �_,) v_l i., . <br />- �. <br />."..� �'n�� ._ .... � _, ._' u .-. ,_". <br />--; ; - <br />� ::� <br />,_.... ,_;:, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of the <br />improvement or other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public property <br />damaged thereby. <br />.___��� <br />, � z �.C% L�'�Lx� '� l lS <br />Signature of Applicant ate <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 />