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t PUBLIC WORKS PERMIT Date: 10/27/2016 <br /> Public Works Permit#: PWW1610-001 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: W1609-004 <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 /> SHARMA BRIJ M & SHUBH SHARMA BRIJ M & SHUBH <br /> 1809 HOLBROOK AVE 1809 HOLBROOK AVE <br /> EVERETT WA 98203-1633 EVERETT WA 98203-1633 <br /> PHONE: 4253455308 PHONE: 4253455308 <br /> TAX PARCEL ID# 00549400501900 SITE ADDRESS: 1809 HOLBROOK AVE <br /> PAVEMENT FOR DRIVEWAY WIDENING <br /> Permitting work that was done without permits to widen driveway paving for accessibility on steep driveway and includes <br /> paving of stairway (pavement only, Stairway construction must be per building code requirements). Remove unpermitted <br /> paving of eastern-most parking stall located in right-of-way north of Holbrook Ave. Restore to landscaping. <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 em.a <br /> T r11 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 10/27/2016. rm°� ..._ ,.-,=,. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-3 J-74Q pricer, .A.,M1 <br /> to starting construction and with other inspection requests. To schedule an'official kxl O- <br /> inspection, call the voicemail inspection line at 425-257-8881 by 4pm the day before you <br /> want your inspection. <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and `= <br /> remove upon completion of the project prior to final approval of the permit. 0 <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be traded onto <br /> roadway. ; <br /> 8. Protect all existing underground utilities during construction. �: -:�r = •�. t= --• �= }tF :3-t <br /> 9. All work constructed within the public right-of-way must be removed or reTt6&ht 'a <br /> r')L C-71 <br /> the owner's expense if the City ever requires use of the right-of-way for muftipat-'x -' <br /> purposes. <br /> Public Works Permit Fee Breakdown: O <br /> Misc. Minor Permits (Paving/Restoration)...............$25.00 <br /> PW Plan Review......................................................$20.00 p"{ <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 /> _,-q7 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 /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. / <br /> FINAL INSPECTION Date Aq_ ` /I y 6—Z7-2� <br /> Approved as Constructed Signature of icant Date <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 />