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PUBLICSORKS PERMIT Date: 3/1/2016 <br /> Public Works Permit#: PW1603-001 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1602-078 <br /> afe <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 /> STARKOVICH G STEPHEN JR STARKOVICH G STEPHEN JR <br /> 420 VERALENE WAY S W 420 VERALENE WAY S W <br /> EVERETT WA 98203 EVERETT WA 98203 <br /> PHONE: PHONE: 4253446819 <br /> TAX PARCEL ID# 00398700600301 SITE ADDRESS: 7431 MCDOUGALL AVE <br /> NEW CARPORT <br /> Public Works Permit to check on drainage. <br /> BUENA VISTA HOME TRACTS BLK <br /> 006 D-01 -S 115.43FT OF LOT 3 LESS <br /> S/HY BLK 6 <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. The contractor must meet with the Public Works Inspector to discuss potential <br /> drainage routing prior to beginning the project. Call Jim Knappert at 425-339-7404. <br /> 5. No dirt, mud, rocks, or depris to be tracked onto the roadway. I■I <br /> 6. Provide any necessary Erosion control for this project as directed by the City Public <br /> Works Inspector. bris to be tracked onto roadway. <br /> 7. 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 affect 'Z <br /> neighboring properties, including the City's right-of-way and/or easements and the <br /> improvements located therein. ZZ jJ <br /> MAR 22 2016 O <br /> Public Works Permit Fee Breakdown: CITY fi <br /> Misc. Minor Permits (Drainage Work) $25.00 pr'EV <br /> PW Plan Review $20.00 ermit Ser ERETT <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 /> �� causes of action that may arise because of installation and maintenance of the <br /> A roved for *instruction Date 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 /> I 1 /^ damaged thereby.:)\\ <br /> FINAL INSPECTION Date7'r e j j -22 - It, <br /> Approved as Constructed Signa of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DA PERMIT IS ISSUED AND THEREAFTER 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 /> \'s'/Ul ""' YNWiWt L L <br />