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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 />JOUDI MOHAMAD WALID AKRAM & NE <br />3223 PINE ST <br />EVERETT �/q <br />PHONE: <br />98201 <br />TAX PARCEL ID # 00439075301200 <br />� Date: 1 /5/2016 <br />Public Works Permit #: PWW1601-001 <br />Parent Permit #: W1506-009 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />SUPREME SERVICES <br />3120 238TH ST SW <br />BRIER WA 98036 <br />PHONE: 2068517769 <br />SITE ADDRESS: 3223 PINE ST <br />ASPHALT PARKING PAD W ACCESS FOR CHANGE OF USE. FROM SFR <br />THIS PERMIT ALSO INCLUDES REPLACEMENT OF THE CITY SIDEWALK ALONG THIS PROPERTY'S FRONTAGE. <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. Any damage to the City sidewalk, curb, roadway, or other improvements shall be _. -;,, .,.; �„ ;�,., -�, �,, <br />replaced per City of Everett Standards and at the direction of the City's Public Works ,;::, ,...: �;, ; ��,; �� <br />Inspector. __ <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br />to starting constr�iction, to cv�luate tr�ffic control set up, erosion control ��nd with other <br />inspection requests. See attached to request an inspection. <br />6. Site work to be done per plans dated 02-05-16 and 02-02-16. (copy attached) <br />7. Keep city streets clean at all times. <br />Public Works Permit Fee Breakdown: <br />PW Plan Review �v20.00 <br />PW Site Inspection $20.00 <br />Misc. Minor Permits $25.00 <br />2�/ , -2-- 2— S—1 % <br />Ap oved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />;�a;;� �-». �.�� <br />:.: li A'.i't +l:t +Ff i 7..., .1..<4 1_ �.� <br />[�.,a �`�.-% r�;% r �r;F r..;�a ; .� <br />: 3 _ 7 �� ) � _ .I-•• :.T i <br />�t� . <br />�.S ti°5 ,_y "-) ��� �� ^� C_tl f_?7 ^..7 <br />�-i.I th1 :� ._) ,:_: t--• '__a 1_•A Lr7 <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 tl�e City and to replace public property <br />da ereby. <br />; �/� "/ � � <br />�� �- - � <br />gnature 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 CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� ; (-� <br />