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���L��► �V��K� ���MI•� Date: 3/11/2016 <br /> Public Works Permit#: PW1603-030 <br /> City of Everett Public Works Department <br /> �� � 3200 Cedar Street Parent Permit#: C1603-005 <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 /> JOHNSON CHRIS & STA HANSON KRISTIN <br /> 4727 SEAHURST AVE <br /> EVERETT �/�/q 98203-1713 <br /> PHONE: 4252803522 PHONE: 4257747129 <br /> TAX PARCEL ID# 29043600312000 SITE ADDRESS: 4727 SEAHURST AVE <br /> PW FOR NEW DETACHED GARAGE <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 /> � , ;�,�.y <br /> .__ <br /> "' �. ,,:: . <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Wb�ks�� - �--� --� - --- -- � - �� <br /> Department dated 4/20/2016. __; -„-,-,,_,:��._�:; ,--�� -�_;�.: �-�, �;' " r, <br /> 4�,J r- :r=�- --t ' t-r--.,m r"-- -�- h'�1 <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-3��-7�,��r �"' �T-;==�:,�='�=' �_� <br /> �.�,,�_.� �e�a <br /> to starting construction and with other inspection requests. '=' �`�`'-'-''�' ���� [�I <br /> �:.�:, �_.. <br /> �.�.�, _ <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and '__; `-' ►� <br /> �:>> ':n�..., <br /> remove upon completion of the project prior to final approval of the permit. �;=; �r� ;=�; � <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto -- �-'� �-�i� <br /> roadway. �a.a ;=I=;O <br /> 8. It is the applicant/owner's responsibility to ensure that stormwater runoff fror� new i_._� <br /> impervious surfaces will be managed on-site in a manner that does not adver��y affect ,, � <br /> neighboring properties, including the City's right-of-way and/or easements aii�l th�, ,� , ; ; � 'r;�;�: , :; 'Z <br /> improvements located therein. �.�' '����� �::: � �'=; � �-'�'"'A��'��'_'' �_,,=O <br /> . C��^��y �:_,;'c_�;�"�i�ri;xV>;+o r_`a r`;=5`': LTi �_, <br /> 9. Any damage to City improvements (sidewalk, curb, roadway, etc.)shall �'e r�'pt��e'cf �.--:�':;_��:-� <br /> --�.�>.':; � <br /> per City of Everett Standards and as directed by the City Public Works Inspector. � '_':; <br /> `�0 RO�Tl�1G � ( � ,--�:_. � <br /> Public Works Permit Fee Breakdown: � <br /> Misc. Minor Permits (Site Work+TESC).......$25.00 <br /> PW Plan Review..........................................$20.00 • - - �N�1SOd 0� 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 /> �� ' C,� � zQ � � causes of action that may arise because of installation and maintenance of the <br /> A roved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> pp r ove same upon notice from the City and to replace public property <br /> am ed thereby. <br /> FINAL INSPECTION Date L" j ' <br /> Approved as Constructed Si na re o Ap c ate <br /> � <br /> WORK AUTf10RIZED f3Y THIS PERMIT MUST f�E START�D WITHIN 180 DAYS 0 D TE PERMIT 1S SSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY U ANY STOPP/� E OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �(� <br />