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PU LIC WORKS PERMIT Date: 6/10/2015 <br /> Public Works Permit#: PW1506-016 <br /> s City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; B1506-016 <br /> t / / Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 110.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PEDERSON PAUL & LINDA FAMILY <br /> 903 43RD ST NW <br /> MARYSVILLE WA 98271 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00393600301700 SITE ADDRESS: 1303 E CASINO RD <br /> DESCRIPTION OF PROPOSED WORK: <br /> PAVED PARKING-ISLAND MACHINE <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. Stormwater shall be managed in accordance with the City's 2010 Stormwater Management Manual. <br /> Ti '' <br /> 5• ' ; r9 S''i <br /> 5. contact City of Everett Inspector Randy Allen 425-339-7403 r:, Fa, y <br /> . prior to starting construction. in r <br /> r , -'-t,T''T?`=' _ cr.'_ -. <br /> 2. r[ ? '-C. _—:; .:: =1 C <br /> :Tl rj .., i i_I—:l Ii-j G..vS <br /> T/ <br /> : <br /> _� <br /> -- '•'• .. o.' - -- - '-it -- .. -.1i i-'— C:o pip <br /> ---PW plan review (EST) $20.00 ,., C <br /> ---PW Site inspection (EST) $20.00 ,2_, �` "� <br /> ---Parking lot paving(SQFT) $45.00 �.:D <br /> Z <br /> Driveway/Asphalt Apron No C&G $25.00 ;„`6 ` ' <br /> 1;—,•.I u PS a ,;'Et 4 V:-•.,5 1^'i i.-.,:. <br /> '--- <br /> �f—�ra 'i lel <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> Ir save harmless the City of Everett from any and all claims for <br /> / damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> -,;41 .16_-..."..... --, ///� _ or other right-of-way use hereto applied for and of agrees <br /> �Lii/ to remove same upon notice from the cd <br /> and to replace <br /> 4•wed fo Co, .tr!• •n • Dat- public property damaged thereby. <br /> 4.11% 11- 1-- 9 . <br /> ' L INSPECTIO Date i�Q.� � gQ�� a„ 1- 7- 15 <br /> Approved as Constructed Signature of Ap cant 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 COMPLE I ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> PO // <br />