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PUBLIC WORKS PERMIT Date: 4/14/2016 <br /> Public Works Permit#: PW1604-017 <br /> City of Everett Public Works Department <br /> ���,��,� 3200 Cedar Street Parent Permit#: B1602-002 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ORLEANS ALEX SAWISH MANAL <br /> 7831 196TH ST SW#101 <br /> EDMONDS �/�/q 98020 <br /> PHONE: PHONE: 4252522153 <br /> TAX PARCEL ID# 00576001100001 SITE ADDRESS: 3614 SMITH AVE <br /> SITE WORK FOR NORTHWEST ZOOLOGICAL SUPPLY <br /> INSTALLING NEW PARKING STALLS, LANDSCAPING AREAS, AND A 6' HIGH CHAIN-LINK FENCE WITH TWO <br /> GATES. <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 ;_�; ��;i'�=; <br /> ,�-, _.,- <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works -- �- ` ;:':-: ��,a� � <br /> Department dated 4/14/2016. � � .-: � _ <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior T� T��-' w <br /> ,_-, __:,_ ,,., ..,,_; <br /> to starting construction and with other inspection requests. _ = ���- `--_ _- [�I <br /> 6. Install erosion control measures per City of Everett Standards for small parcels, as -_� -;;.;:.-, � <br /> needed, and remove upon completion of the project prior to final approval of the permit. - ' �u� '� <br /> � �-_.. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto '�'�-;' � <br /> roadway. ���= <br /> �m;�';�' ''r. O <br /> 8. Protect all existing underground utilities during construction. ;r�:, � <br /> 9. A landscape inspection is required prior to final approval by the public works ;v;,; _� <br /> inpsector. Contact Teresa Weldon with the Planning Department at 425-257-7281 to _'" " �''���r'�� � `� <br /> schedule a landscape inspection. °n''�i rT'`�'°�' <br /> ��}{_7�x��, ,.� O <br /> �-_� ,:�,� ��� ��v� �� <br /> �.:-,;:-�_�: <br /> . _'i_�...,�,. <br /> Public Works Permit Fee Breakdown: ; , , _"� � <br /> Misc. Minor Permits (Parking Lot striping, Fencing, etc.)....$25.00 ` ` " � � ` � <br /> ��;: <br /> PW Plan Review..................................................................$20.00 <br /> PW Site Inspection..............................................................$20.00 ��rC�F��'p: a <br /> er�: <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 /> ��] ,� (� 'J l causes of action that ma arise because of installation and maintenance of the <br /> `" ''��1�( �1�` �i2 `�7 <6 improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date ✓"� Crl� y�y �,� <br /> Approved as Constructed Signat�ure c Applicant Date <br /> WORK AUTHORIZED BY THIS f ERMI T MUST E3E ST�RT�D WITHIN 180 DF�YS OF DATE PERMIT IS ISSUED AND Tf IEREAFTER 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 /> ���� <br />