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PUBLIC �idORKS PERMIT Date: 4/14/2016 <br /> Public Works Permit#: PW1604-018 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> ' Everett, WA 98201 <br /> (425)257-8810 Planning Reference#: <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WILLIAM C. BARDES SAME <br /> 4007 FEDERAL AVE <br /> EVERETT WA 98201 <br /> PHONE: 3603338570 PHONE: <br /> TAX PARCEL ID# 00511800000300 SITE ADDRESS: 4007 FEDERAL AVE <br /> WIDEN DRIVEWAY <br /> MATHEWSON HEIGHTS BLK 000 D-00 <br /> - LOT 3 <br /> WIDEN DRIVEWAY <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. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior t 3 <br /> to starting construction and with other inspection requests. See attached to request an <br /> inspection. r z <br /> ,-M .-.:a,M E„I <br /> -7 M <br /> 5. Any damage to the City Sidewalk or other improvements shall be replaced at the '. <br /> direction of the City Public Works Inspector. ; <br /> 6. Keep City streets clean at all times. r <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. Y; ,C>�y L; <br /> , :—] Q;�C-D <br /> `i CY L] -] <br /> Public Works Permit Fee Breakdown: — = <br /> Misc. Minor Permits (Drainage Work).......$25.00 <br /> PW Plan Review.......................................$20.00 a <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 /> �i causes of action that may arise because of installation and maintenance of the <br /> rvEdfor Constr C Da 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 /> damaged the by. <br /> FINAL INSPECTION Date 044 <br /> Approved as Constructed Signature of �214,'IsSUED <br /> nt Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERM 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 />