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PUBLIC 1iVORKS PERMIT Date: 3/17/2016
<br />Public Works Permit #: PW1603-045
<br />City of Everett Public Works Department
<br />3200 Cedar Street Parent Permit #: -
<br />Everett, WA 98201 Planning Reference #: � �� ! �'L��'� "�-�=� �
<br />(425) 257-8810
<br />Public Works Fee $: $ 65.00
<br />Other $:
<br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br />HASKINS ROSEIVIARY & BRIAN
<br />1422 RUCKER AVE
<br />EVERETT �/�/q 98201-1616
<br />PHONE:
<br />TAX PARCEL ID # 00475329502100
<br />NEW 556 SQ FT DETACHED GARAG�
<br />OLSON ED
<br />PHONE;
<br />SITE ADDRESS: 1422 RUCKER AVE
<br />HILTONS 1ST ADD TO EVERETT BLK
<br />295 D-00 - ALL OF LOT 21 & S 21 FT
<br />OF LOT 22
<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 �=
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<br />4. Site Civil Work to be done per plans approved by the City of Everett Public Works � ��=
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<br />Department dated 3/17/2016. _-i -,, -�, :,� ,�: T; -r, ,-, '""' °
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<br />5. Downspouts for new garage shall discharge to splash blocks. -:_; �=�� == �-y H �='
<br />�"'rt .�!.: 1_, 7 C."� r+ � n'C
<br />6. Install erosion control rneasures per City of Everett Standards for sn�all p�arc��'�� as �° ��i �' �' ��=�=; ��
<br />directed by the Pubilc Works Inspector, and remove upon completion of the project prior ;:_; c=� M"�
<br />to final approval of the permit. �� ��� ;=; �`; ��
<br />7. No dirt, mud, rocks, or debris to be tracked onto roadway. .�-3 ����:=� ��
<br />8. New concrete apron shall be paved from the new garage to the exisitng paving in tf�� `='
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<br />alley. ���''� .
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<br />9. Any damage to the City Sidewalk, alley, roadway, or other improvements shall be �� �_� ��
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<br />replaced at the direction of the City Public Works Inspector. :�-- i� �- ��F �•� �"``� �* ��"�
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<br />10. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-�Q3 =_', _�-` �'�-" ;=:; ��' �=' a" ,
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<br />prior to starting construction and with other inspection requests. See attached to'r�q��`st`-' ��-'''' `�'' `=' "-' "=' �-:� -:�:� �- �
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<br />an inspection. -�°= E..i
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<br />Public Works Permit Fee Breakdown:
<br />Driveway Apron..........$25.00
<br />PW Plan Review.........$20.00
<br />PW Site Inspection......$20.00
<br />A�o� fof Con
<br />INAL INSPECTION -
<br />pproved as Constructed
<br />,,� Date
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<br />Date
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<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.
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<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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.
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