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Date: 016 <br /> PUBLIC WORKS PERMIT�. Public Works Permit#: PW16W1601-011 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1601-014 <br /> q9 Everett, WA 98201 Planning Reference#: REV115-014 <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EVERETT AVENUE HMB LLC Brian Bodge <br /> 2821 RUCKER AVE 523 61 st St SE <br /> EVERETT WA 98201 EVERETT WA 98203 <br /> PHONE: PHONE: 4258793437 <br /> TAX PARCEL ID# 29052000409900 SITE ADDRESS: 3007 EVERETT AVE <br /> PARKING LOT STRIPING-GLOBODYNE INDUSTRIES INC <br /> PARKING LOT STRIPING AND ADDITION OF LANDSCAPING: ADD 3 TREES AND SHRUBS FOR TYPE III <br /> LANDSCAPING TO EXISTING LANDSCAPE AREAS ALONG EVERETT AVENUE AND BETWEEN ADJACENT PARCEL <br /> BOUNDARY TO THE WEST. LANDSCAPE STRIP TO FUNCTION AS BIORETENTION SYSTEM. <br /> BLA/ROS REC UND AFN <br /> 200409245130 <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. Site Civil Work to be done per plans approved by the City of Everett Public Works <br /> ~Vi <br /> Department dated 1/20/2016. w'7, <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 priiqrri ;T) W <br /> to starting construction and with other inspection requests. See attached to request an [� <br /> inspection. . <br /> 6. Any damage to the City Sidewalk or other public improvements shall be replaced at <br /> the direction of the City Public Works Inspector and in accordance with current City ~`' <br /> Standards. ; O <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. Sidewalks to be kept clean an open for pedestrian travel. <br /> 8. Install erosion control measures per City of Everett Standards for small parcels. :—; <br /> �_ <br /> Remove erosion control measures upon completion of the project prior to final approvo)l:t r <br /> of the permit. <br /> w, <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permit.............$25.00 O <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 /> causes of action that may arise because of installation and maintenance of the <br /> A r ed or Constr ti Date improvement or other right-of-way use hereto applied for and further agrees to <br /> pp remove same upon notice from the City and to replace public property <br /> damaged thereby. 12- <br /> FINAL INSP TION Date 8v (� <br /> Approved as Constructed Signatur/ofm pplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 D YS OF DATE TISISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> FTte <br />