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PUBLICOORKS PERMIT 0 Date: 7/8/2016 <br /> City of Everett Public Works Department Public Works Permit#: PW1607-011 <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 /> PORT OF EVERETT GURLEY, LAURA <br /> PO BOX 538 1205 CRAFTSMAN WAY, SUITE 200 <br /> EVERETT WA 98206 EVERETT WA 98201 <br /> PHONE: 4252593164 PHONE: 4253880720 <br /> TAX PARCEL ID# SITE ADDRESS: 404 14TH ST <br /> PAVE 3600 SQ FT OF GRAVEL/ASPHALT AREA WITH NEW ASPHALT <br /> THIS WORK TO PROVIDE ACCESSIBILITY TO THE FARMERS MARKET. NOT TO BE USED FOR PARKING. <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. Work to be done per approved drawing dated 07/08/2016. (Copy attached) w <br /> 5. Keep City street clean at all times. E.,1 <br /> COSTING 8 �.y �� ►-� <br /> 6. Place inlet protection at catchbasin during grading process and provide any other F+ + >c: <br /> erosion control as directed by the City Public Works Inspector. <br /> 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction, to evaluate traffic control set-up, and with other inspection <br /> requests. See attached to request an inspection. <br /> �q9 U <br /> Public Works Permit Fee Breakdown: (TO BE BILLED) <br /> I DD <br /> � <br /> Misc. Minor Permits .......$25.00 JUL 1 1 2016 O <br /> PW Plan Review...............$20.00 a <br /> PW Site Inspection...........$20.00 CITY OF EVERETT <br /> Permit Services <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 /> causes of action that may arise because of installation and maintenance of the <br /> App e for Constru Date improvement or other right-of- y use hereto applied for and further agrees to <br /> I ,� remove same upoInoti roe City and to replace public property <br /> I- L <br /> dama d thereby. <br /> INAL 1NSP TION Date I I I <br /> Approved as-Constructed gnature of Ap licant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AN EREAFTER 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 /> �t� <br />