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PUBLIC . ORKS PERMIT Date: 7/6/2016 <br /> Public Works Permit#: PW1607-007 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1606-011 <br /> E y � Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CONKLE DAVID CONKLE DAVID <br /> 11417 3RD PL W#B 11417 3RD PL W#B <br /> EVERETT WA 98204 EVERETT WA 98204 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00393900501500 SITE ADDRESS: 8220 BEVERLY BLVD <br /> DRAINAGE REVIEW AND INSPECTION FOR STORAGE BLDG <br /> BEVERLY PARK PLAT OF BLK 005 <br /> D-00 - LOT 15 BLK 5 LESS WD <br /> 399/735 TO CITY OF EVERETT <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. It is the applicant/owner's responsibility to ensure that stormwater runoff from new _ �,-,- ��,-,_, <br /> impervious surfaces will be managed on-site in a manner that does not adversely affec1; ; ; <br /> neighboring properties, including the City's right-of-way and/or easements and the : '; F.:�° LO V''- ' <br /> improvements located therein. <br /> 5. Slope drainage toward existing drainage system. <br /> 6. Contact the City of Everett Public Works Inspector Jim Knappert 425-339-7404 prior nto starting construction and with other inspection requests. See attached to request an tt � <br /> inspection. ,•A F r •tet,- <br /> ,.j L,1 t a :"..a <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits (Drainage Work) $25.00 — <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <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 /> 7 —/,6* 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 /> A roved for Construction Date remove same upon noti - om the City a d to replace public property <br /> damage. iereby. <br /> FINAL INSPECTION Date �• <br /> Approved as Constructed �� — `� -- �.� <br /> pp Signat 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 COMPLL I ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />