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` PUBLIC ORKS PERMIT Date: 11/24/2015 <br /> Public Works Permit#: PW1511-031 <br /> City of Everett Public Works Department <br /> 1 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 70.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SIRES ARNOLD SIRES ARNOLD <br /> 924 9TH ST 924 9TH ST <br /> MUKILTEO WA 98275 MUKILTEO WA 98275 <br /> PHONE: 4257734800 PHONE: 4257734800 <br /> TAX PARCEL ID# SITE ADDRESS: 2215 106TH ST SW <br /> INSTALL 25' OF CULVERT AND 20' DRIVEWAY <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated$ . [� <br /> c <br /> 5. Pave driveway from the front property line out to the street paving. F- <br /> �. <br /> 6. Contact the City of Everett Public Works Inspector Jim KnapPert at 425-339-7404 prior to rtin—;'@ ruc�Rn <br /> and with other inspection requests. See attached to request an inspection. <br /> 7. Culvert shall extend just beyond drivoay limits, but not extend full frontage of property. Minimum diameter shia9l b0„; O <br /> 12", and shall be sized according to Design and Construction Standards and Specificaitons for Development. �! : <br /> 8. Driveway shall be maximum 20'wide and shall leave a minimum of 10' vegetation between driveway edge and r' <br /> property line. <br /> Public Works Permit Fee Breakdown: .1�r..W44�14 <br /> Driveway Paving $25.00 e•��r• r•.� <br /> ca o�•n�� � <br /> Misc Minor Permits (Culvert) $25.00 � <br /> PW Site Inspection $20.00 �= O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Construction Date public property damaged thereby. <br /> r <br /> FINAL INSPECTION Date 40 <br /> Approved as Constructed Signature of Applicant 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 /> �l� <br />