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PUBLIC �ORKS PERMIT Date: <br />� <br />Public Works Permit #: <br />City of Everett Public Works Department <br />3200 Cedar Street Parent Permit #: <br />Everett, WA 982Q1 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />WELLS DAVID <br />915 RUCKER AVE <br />EVERETT �/�/q <br />PHONE: 2067999090 <br />98201 <br />TAX PARCEL ID # 00553217400600 <br />LANDSCAPING & DRIVEWAY PAVING <br />PLANTING DESIGN <br />24200 76TH AVE W <br />EDMONDS Wq <br />PHONE: 4257716571 <br />•: 1. <br />SITE ADDRESS: 915 RUCKER AVE <br />3/24/2016 <br />PW1603-058 <br />$ 150.00 <br />READY LAND CO S 2ND ADD BLK 174 <br />D-00-S1/2LOT6ALLOF7&8 <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. Site Civil Work to be done per plans approved by the City of Everett Public Works <br />Department dated 3/25/2016. - <br />,. ,.� <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior � � <br />. ....�...� C::i ._�i (:�"I ::i_7._ ...�,� <br />to starting construction and with other inspection requests. '� �' '� �� <br />_; ; _, ��, <br />6. Install erosion control measures per City of Everett Standards for small parcels a�kd '� <br />remove upon completion of the project prior to final approval of the permit. <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto , <br />roadway. <br />8. Protect all existing underground utilities during construction. <br />9. All work constructed within the public right-of -way must be removed or relocated at;_��,. <br />the owner's expense if the City ever requires use of the right-of-way for municipal '•= � <br />-, �— <br />purposes. ;E :. .��-� {F":h �A^k .1�. ,,�` �� <br />' "::�� t`�.,� _�:.. �:. �.,_7 �'-� r_.a <br />. _�:�j .`> _ � t_" � T7 -;:; :?1 <br />Public Works Permit Fee Breakdown: `'' ' "�� <br />Grading/Fill/Excavate (<50CY)...........$25.00 <br />Paving (Concrete) (384SF) .................$45.00 <br />Retaining Wall in R.O.W. (161LF)......$40.00 <br />PW Plan Review .................................$20.00 <br />PW Site Inspection ..............................$20.00 <br />Approved for Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />� �' �.� 2��`� <br />Date <br />Date <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 />improv ent or other right-of-way, e hereto applied for and further agrees to <br />remove�ame upon _n_otic� ffiom tY}�City and to replace public property <br />re <br />�� <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS � F DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLET�ION. THIS PERMIT MAY BE CANCELLED BY THE C UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />�� <br />