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PUBLIC WORKS PERMIT Date: 12/20/2016 <br /> City of Everett Public Works Department Public Works Permit#: PW1612-032 <br /> F��. 3200 Cedar Street Parent Permit#: <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 /> KIRBY ANGELA RAINY DAY/CLARK KEVIN <br /> 1832 VIRGINIA AVE 18931 59TH AVE NE SUITE 5 <br /> EVERETT WA 98201 ARLINGTON WA 98223 <br /> PHONE: 2066183264 PHONE: 3605422487 <br /> TAX PARCEL ID# SITE ADDRESS: 1832 VIRGINIA AVE <br /> INSTALL DISCHARGE PIPE UNDER SIDEWALK <br /> THIS PERMIT COVERS WORK OUTSIDE THE BUILDING FOR INSTALLATION OF A SYSTEM TO REMOVE GROUND <br /> WATER FROM THE BASEMENT VIA PUMPING. <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 /> � <br /> • Cr) <br /> 1-1-• <br /> Y-i <br /> 4. The contractor must meet with the Public Works Inspector to discuss potential �,Z:2 _, -� w <br /> r- _Z---a <br /> drainage routing prior to beginning the project. Call Randy Allen at 425-339-7403. 73:; �-• - <br /> 5. Remove and replace curb, gutter, and sidewalk as per City of Everett Standards as <br /> directed by the Public Works Inspector(i.e., Any broken or damaged area must bel`# 1 l ' <br /> replaced). ;-_ E•1 ade <br /> 6. Site work to be done per plans approved by the City of Everett Public Works <br /> Department dated 12/20/2016. L;, ; <br /> Public Works Permit Fee Breakdown: q T' <br /> Misc. Minor Permits (Drainage Work) $25.00 <br /> C'7 L:'- <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.0041) <br /> O <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 /> /.2--2 U 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 /> Appr ved for Construction Date remove same upon notice from the City and t.+replace public property <br /> damaged <br /> then-.'. <br /> FINAL INSPECTION Date / , " *24Approved as Constructed Sign- re of Applicant <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 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />