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0 <br /> PUBLIC WORKS PERMIT Date: 8/23/2016 <br /> Public Works Permit#: PW1608-043 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1510-028 <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 /> SLAUGHTER ANTHONY R QUALITY GARAGE INC <br /> 1319 PINKERTON AVE BOX 12094 <br /> EVERETT WA 98203 EVERETT WA 98206 <br /> PHONE: PHONE: 4252597250 <br /> TAX PARCEL ID# 00394100302302 SITE ADDRESS: 1319 PINKERTON AVE <br /> PAVE DRIVEWAY FOR NEW ATTACHED GARAGE <br /> 24 AS MEAS ALG W LN THOF BLK 3 <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 ,T; .- <br /> Mr1ii <br /> 4. Contact the City of Everett Public Works Inspector Jim Knappert at 4251�p.9.-474;04;cr,•-„-n <br /> F r-- 7 <br /> prior to starting construction and with other inspection requests. See attach;iOV­eft '�, �_,-71 <br /> an inspection. r �� Zs ' <br /> F_ ter-, <br /> D ;aJ D <br /> 5. Pave driveway from new garage door out to street with asphalt or concrete. , oo <br /> 6. It is the applicant/owner's responsibility to ensure that stormwater runoff fro" nevv r J <br /> impervious surfaces will be managed on-site in a manner that does not adversy affect <br /> neighboring properties. yI ' <br /> f.J h-`. ifr F—`r•J 4.T'1•EFl•ti-:F{idr <br /> Public Works Permit Fee Breakdown: �-T, "- =, <br /> , <br /> PW Plan Review$20.00 ° �� "n r c1 <br /> _,-<3 <br /> PW PW Site Inspection $20.00 <br /> Driveway$25.00 <br /> 0 <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 /> -2 3 causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> pp,roved for - nstruction Date remove same upon notice from the City and to replace public property <br /> J damaged thereby. <br /> FINAL INSPECTI N Date <br /> Approved as Construded 08ignature 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 STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />