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411111W PUBLIC-WORKS PERMIT Date: 6/21/2016 <br /> i'f�� City of Everett Public Works Department Public Works Permit#: PW1606-036 <br /> 3200 Cedar Street Parent Permit#: B1606-047 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 85.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WILLIAMS APRIL <br /> 921 WALL ST <br /> EVERETT WA 98201-3933 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00437267601600 SITE ADDRESS: 921 WALL ST <br /> NEW PAVING PAD ONSITE FOR INFILL DWELLING UNIT <br /> EVERETT DIV C REPLAT BLK 676 <br /> D-00 - LOTS 16 & 17 & E 29.75FT OF <br /> LOTS 18, 19, 20, 21, 25 &26 <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 ; ®q <br /> 4. New concrete curb cut (driveway) shall be installed per COE Standard Drawing#308 , ' I <br /> and removal of existing curb cut shall be restored with curb, gutter, and sidewalk per I '- r_'T' —1 <br /> , ,— <br /> r <br /> COE Standard Drawing#306. ?; -- x, =t e= w <br /> 5. Install erosion control measures for small parcels prior to construction and removed ,"I'''i : <br /> prior to final approval of this permit. :V'a I* <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. :, ,'cA <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoff from new . 0 <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect O <br /> neighboring properties. <br /> m <br /> 8. Site plan approved on 6/30/2016 by the City of Everett Public Works department shall lir' <br /> -e.,,iF -e.F.e=t.cF4 <br /> be referenced on-site during construction. Concrete paving extents may be slightly p r l r.7 • <br /> modified to allow for landscaping, however no additional paving shall be installed beyond <br /> what is approved per plans without prior approval from the Public Works Department. __.1: :�''� <br /> 9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior g. <br /> to starting construction and with other inspection requests. Inspector must approve <br /> formwork before concrete is poured. 0 <br /> Public Works Permit Fee Breakdown: PO <br /> Paving $45.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 ACKNOWLEDGEMENT OF CONDITIONS <br /> 1 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 /> VO 1 ° S 4. V7.,d ZO 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 /> App ov•d f•r Cons c is r D remove same upon notice from the City and to replace public property <br /> / q4-2-- IP' <br /> damag thereby. <br /> Fl AL INSPI e T'016 DatejiLi ' ,¢ JI /C 'Ev. O? ( <br /> Approved as onstructed Si natur fA `f ���///vvv <br /> g pp icant Da e <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 /> RI& <br />