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12- d2l <br /> Date: 11 <br /> PUBLIC WORKS PERMIT Public Works Permit#: PW1611-041 <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 /> OLIVER LEWIS OLIVER LEWIS <br /> P.O.BOX 12717 <br /> EVERETT WA 98206 <br /> PHONE: 4253207848 PHONE: <br /> TAX PARCEL ID# 00439143302500 SITE ADDRESS: 2114 HOYT AVE <br /> POUR CONCRETE DRIVEWAY <br /> (11/30/2016 11:12 AM BES) <br /> POUR CONCRETE DRIVEWAY OVER EXISTING GRAVEL <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 /> Department dated 12/02/2016. a <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior ! n„; w <br /> to starting construction and with other inspection requests. <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto 4:! <br /> 1_. g;r <br /> roadway. ;' <br /> 7. Protect all existing underground utilities during construction. <br /> 8. Make sure that runoff from the driveway not to impact the neighbouring property. iy O <br /> 9. All work constructed within the public right-of-way must be removed or relocated at <br /> the owner's expense if the City ever requires use of the right-of-way for municipal 01 <br /> iW 3 P 5 r-3 <br /> purposes. r_T, +d `>> <br /> IS <br /> Public Works Permit Fee Breakdown: �+ <br /> r.� <br /> Driveway/Concrete ....................................$25.00 <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 O <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 /> p for Con C Date improvemen right-of-way use hereto applied for and further agrees to <br /> I re me upon n tice from e City and to replace public property <br /> da ed thereby. <br /> ANAL INSjECTI6V Date <br /> Approved as Constructed Signat of Applican ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAY F 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 />