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PUBLIC WORKS PERMIT Date: 12/20/2016 <br /> Public Works Permit#: PW1612-012-033 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 45.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DOLAN WILLIAM J & SHELDA DOLAN WILLIAM J & SHELDA <br /> 9773 DAN ST 9773 DAN ST <br /> LA CONNER WA 98257 LA CONNER WA 98257 <br /> PHONE: 4258706950 PHONE: 4258706950 <br /> TAX PARCEL ID# 00561900101100 SITE ADDRESS: 3423 BELL AVE <br /> INSTALL TURFSTONE DRIVEWAY <br /> TWO 2'X40' LANES IN SIDE YARD AT POINT OF EXISTING DRIVEWAY APRON. <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 ' ''4 <br /> Department dated 12/20/2016. -+ <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior ?- <br /> to starting construction and with other inspection requests. 0 <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. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. ' O <br /> 8. Protect all existing underground utilities during construction. ` =y <br /> 9. Turfgrid paving shall be installed to align with wheels of vehicles and shall beFri <br /> maintained per manufacturer's recommendations. No overgrowth shall be permitted. : <br /> Public Works Permit Fee Breakdown: - <br /> Driveway(Turfgrid)...................................$25.00 <br /> PW Site Inspection....................................$20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> a^ 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 /> 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 " )Z-ZD—( <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 /> R(F- <br />