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PUBLIC 04ORKS PERMIT Date: 10/10/2016 <br /> Public Works Permit#: PW1610-020 <br /> �a <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 /> FOWLER MARGARET FOWLER MARGARET <br /> 2521 MONROE AVE 2521 MONROE AVE <br /> EVERETT WA 98203 EVERETT WA 98203 <br /> PHONE: 4257370202 PHONE: 4257370202 <br /> TAX PARCEL ID# 00545103801100 SITE ADDRESS: 2521 MONROE AVE <br /> PAVE ASPHALT DRIVEWAY <br /> ST ADJ TO LOTS 11 & 12 AS VAC BY <br /> ORD NO 13-69 REC 4-7-89 REC NO <br /> 2081159 <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 Workso <br /> Department dated 10/10/2016. 4' b <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. y [� <br /> rss .. <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 /> •,ti: <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto :;. <br /> �_, <br /> roadway. F�1' O <br /> 8. Protect all existing underground utilities during construction. k:y <br /> 9. Drianage shall be managed onsite in a way that does not adversely affect <br /> neighboring or downstream properties. Uh <br /> : µ ; <br /> Public Works Permit Fee Breakdown: +: 5;11W <br /> Paving 3000sf asphalt)..........................$45.00 ' <br /> PW Site Inspection.................................$20.00 <br /> TO POSTING 25 <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 /> he ��yv�" causes of actiorythat may arise because of installation and maintenance of the, �W?A- ,4, <br /> improvement.or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> da�aged -hereby. <br /> FINAL INSPECTION Date �� <br /> Approved as Constructed Signature of Ap pli ant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT 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 /> ,IT/( <br />