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PUBLIC WORKS PERMIT Date: 4/10/2017 <br /> Public Works Permit#: PW1704-008 <br /> City of Everett Public Works Department <br /> i � � <br /> 3200 Cedar Street Parent Permit#: W1703-015 <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 /> BACHOFER WENDY& CLARKE LANKFORD SCOTT <br /> 3216 54TH ST SW 2316 FAIRVIEW AVE E APT B <br /> EVERETT �/�/,q 98203-1301 SEATTLE Wq 98102 <br /> PHONE: 4258762315 PHONE: 2063315123 <br /> TAX PARCEL ID# 00396700401300 SITE ADDRESS: 3216 54TH ST SW <br /> NEW DRIVEWAY PAVEMENT REPLACING EXISTING <br /> 878 SF DRIVEWAY REPLACEMENT PLUS 400 SF GRAVEL TO PAVEMENT APRON PLUS 327 SF WALKWAY <br /> REPLACEMENT. TOTAL PAVING IS 1605 SF. <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertormed 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 /> ,�,::;. ::, <br /> ,;; �.... <br /> �., <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works � -� - � _ `" <br /> a ,,,� <br /> Department dated 4/10/2017. � �. _ , ,_, ' <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 �� ' � �`= w <br /> prior to starting construction and with other inspection requests. ' ' .. [�-I <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. ''�';`a '"::; <br /> 9. Pavement width must not exceed 20ft per EMC13.16.060.A. �mrj _ � <br /> ,:�,; �-;F.,_,-� � <br /> - r•.�_r•, <br /> ,,,.. <br /> ; : � <br /> Public Works Permit Fee Breakdown: - 4„ _-�' - <br /> „��, � <br /> _ ,.__,. <br /> Paving. .....................................................$45.00 =.. ,,;'S ..... .�_ -:3 �� -- <br /> . ,: �� <br /> _..,,.__.;.:: E"'r <br /> PW Site Inspection....................................$20.00 �_= <br /> � ..a � <br /> 0 <br /> �� ������`��.._���..�.!� � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> i / City of Everett from any and all claims for damages, costs,expenses,or <br /> , ��� �� Ga / causes of action that may arise because of installation and maintenance of the <br /> improvement or other ri t-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove sa e u on no ro the City and to replace public property <br /> damage t ere y. � <br /> FINAL INSPECTION Date L� - ' � - � 7 <br /> Approved as Constructed Si nature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMTT IS ISSUE ND 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 />