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PUBLIC�1/ORKS PERMIT Date: 1/26/2017 <br /> Public Works Permit#: PW1701-023 <br /> City of Everett Public Works Department <br /> �j.� � 3200 Cedar Street Parent Permit#: <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 /> HACKER MARYJANE HACKER MARYJANE <br /> 2428 21 ST ST 2428 21 ST ST <br /> EVERETT �/�/q 98201 EVERETT WA 98201 <br /> PHONE: 4252686723 PHONE: 4252686723 <br /> TAX PARCEL ID# SITE ADDRESS: 2428 21 ST ST <br /> Improve Existing Driveway <br /> Improve existing driveway by widening driveway opening, improving sidewalk and adding concrete up to garage doors. <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 --,, „�„A .,; <br /> ,:- � <br /> -:n <br /> �..._�....�. :_...�. i^'i 'am'1._:: <br /> 4. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior --�� ° <br /> y_ -,-, „ �>> w <br /> to startin construction and with other ins ection re uests. See attached to re uest an �^y'+� � �A=--i r <br /> 9 P q q _r_:. �' =� <br /> inspection. -'' �"''T'''' ' � <br /> _ITl'-rl 1-,3 <br /> f i? ..... u <br /> ' ^ <br /> 5. Work to be done as indicated on sketch approved by the City of Everett Public Works ���a ;j;� ��� <br /> Department dated 01/26/2017. ;' ��'� <br /> �_, <br /> 6. Any damage to the City Sidewalk or other improvements shall be replaced at the � '- �0 <br /> direction of the City Public Works Inspector. �,�1 '� <br /> i_. 8� f�J;,�;J �''.•�� <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto �;'� ��x o'�--';�' , <br /> roadway. =-' �r:i''_. �_ �; °.0 <br /> ,.-:,�:�. =- <br /> _�._.t...1�� -.r'�� <br /> 1�1 <br /> 8.Sidewalk in locations where autos will drive over it must be a minimum of 6" thick. ���--`-" � <br /> Public Works Permit Fee Breakdown: � <br /> Misc. Minor Permits................................$25.00 =�� � ����j� ��(°l�� �/ A-I <br /> PW Plan Review.......................................$20.00 '1 +E� „ �;� � ��*�� --- .�:,,e�.� <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 /> ����jy�2�_,_ ����,�� causes of action that may arise because of installation and maintenance of the <br /> Appw� ed for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> damage th reby. <br /> FINAL INSPECTION Date � � � 26 l��1� <br /> Approved as Constructed Signatu�of Applicant I Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFrER 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 />