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PUBLIC VTORKS PERMIT Date: 1 011le <br /> Public Works Permit#: PW1612-018 <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 $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> VANASSA&JOE LUNDHEIN VANASSA& JOE LUNDHEIN <br /> 5304 BEVERLY LN SAME <br /> EVERETT WA 98203 <br /> PHONE: 4252909820 PHONE: <br /> TAX PARCEL ID# 00471900002300 SITE ADDRESS: 5304 BEVERLY LN <br /> WIDEN DRIVEWAY <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 12/92016. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior s. �....a <br /> --a a'7 " <br /> to starting construction and with other inspection requests. =° "' r <br /> U;� <br /> `'- rl <br /> 6. Drainaige runoff form the driveway shall not impact the neighbours property ►"� <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> r;;t <br /> roadway. ; <br /> 8. Protect all existing underground utilities during construction. 0 <br /> h <br /> Public Works Permit Fee Breakdown: <br /> Driveway/Concrete Apron/Curb Cut Resident...$25.00 a`' <br /> ;_>, � � O <br /> PW Plan Review.......................................$20.00 :_> -> „, <br /> PW Site Inspection....................................$20.00 <br /> 0 <br /> -J <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 /> / O , causes of action that may arise because of installation and maintenance of the <br /> ed for CO C 10 Dat improvement or other right-of-way use hereto applied for and further agrees to <br /> pp remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date VAX" 12.-15-ltjo <br /> Approved as Constructed I 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'nSTOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> fl W <br />