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PUBLIC WORKS PERMIT <br />City of Everett Public 1Norks Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />BUNNEY CLAIRE <br />PO BOX 638 <br />WINTHROP WA <br />PHONE: 5093414259 <br />98862 <br />AX PARCE�ID # 00437868900100 <br />DESCRIPTION OF PROPOSED WORK: <br />Parking Lot <br />Date: 3i6/2014 <br />Public Works Permit #: PW1403-003 <br />BuildingPermit#; D1401-002 <br />Planning Reference #: <br />Public Works Fee $: S 128.25 <br />Other 5: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 2915 MCDOUGALL AVE <br />PERMIT CONDITIONS <br />1. All calls for inspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and currenl City of Everett Design and Conslructi�n Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Parking lot constructions shall be as per the Public Works approved plan dated 3/C,114 and the inspector's �� � <br />direction in the field. Your public works inspector is Randy Allen. Please catl him at 425-339-7403 fQr,any.questians �y <br />andlor inspections. =� • <br />p� �ITT?l <br />lJr-E�� <br />S <br />5. Lan,iscaping shall be as per the Parking Lot Planting Plan signed by Donna Breske on 2-4� wi��f�e� <br />additi��nal trees added to lhe landscaped swale in lhe northern portion of lhe parking lot. <br />6. No dirt, mud, rocks or debris shall be tracked onto roadway - Keep city streets clean at all times during <br />consiruction. �t <br />TO <br />NALI <br />�'/II/!�-F <br />as Constructed <br />� <br />��� N1'�!I <br />MAR Q 7 ZUt4 II 1 i <br />CiTY p�� •. , <br />V' <br />�'�,m;c 5�;: ��� T7. <br />� <br />F� <br />� <br />� <br />�--. , t�. �,. .�. <br />r� r���r� <br />a�r.Jti�n�n <br />�;���; =;� _� <br />�� � ; <br />:: <br />,_. �.� <br />ACKNOWL[DGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby �9rees to hold and <br />save harmless Ihe Cily oi Everett (rom any and all claims (o� <br />damages, cosls, expenses, or causes of action Ilial may arise <br />because o( installalion and mainlenance of Ihe improvemenl <br />or other right-of-way use herelo applied for and (urther agrees <br />to remove same upon notice from �he Ciry and to replace <br />pubiic property damaged Ihereby. <br />GrC�-�-� � 7 �� <br />Signature o( Applicanl <br />Date <br />IVORK AUTHORIZED BY TIilS PERPIR P1U5T BE ST�RTED WRHIN 180 DAYS OF DATE PERI-0IT IS ISSUED AND THERF.AFTER IS TO BE DILIGENTLY <br />PURSUED TO COPIPLE�ION. THIS PERPIR P1AY BE CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURAT70N. <br />�I LE <br />