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P U B L I C OO RKS PERMIT � Date: 7/12/2016 <br /> Public Works Permit#. PW1607-015 <br /> h£ City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> +,ice 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 /> PHUNG JACKIE &JACQUELINE KAM OWNER <br /> 232 99TH PL SW <br /> EVERETT WA 98204-2757 <br /> PHONE: 2064078911 PHONE: <br /> TAX PARCEL ID# 01142600000200 SITE ADDRESS: 232 99TH PL SW <br /> INSTALL CONCRETE PATIO AROUND SIDES AND BACK OF HOUSE <br /> Section 13 Township 28 Range 04 <br /> Quarter SE PROVIDENCE PARK <br /> CONDOMINIUMS UNIT 2 TGW EQ& <br /> UNDIV 1/2 INT IN COM ELEMENTS7S__ <br /> PERMIT CONDITIONS DESC IN DECL REC AFN <br /> 1. All calls for inspection shall be made 24 hours in advance. 201410150277 <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 _1D <br /> M. <br /> 4. Site Civil Work to be done per sketch approved by the City of Everett Public Works iK ' ' <br /> r a <br /> Department dated 07/18/2016. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 <br /> r, <br /> prior to starting construction and with other inspection requests. See attached to request -' T'�s k=- <br /> an <br /> an inspection. 00 <br /> 6. Stormwater from new impervious surfaces shall not be discharged, through <br /> downspouts or other direct pipe connections, into a combined sewer, including a lateral <br /> line or side sewer connected to the city's combined sewer system as per EMC Chapter L O <br /> 14.08.180 H. <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoff from new ;p l <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect *' <br /> C'.. r-3 r%5 r„± <br /> neighboring properties, including the City's right-of-way and/or easements and the <br /> improvements located therein. - >. <br /> 8. Any damage to City improvements (sidewalk, curb, roadway, etc.)shall be replaced E.,l <br /> per City of Everett Standards and as directed by the City Public Works Inspector. `X, <br /> Public Works Permit Fee Breakdown.- <br /> PW <br /> reakdown:PW Plan Review$20.00 <br /> PW Site Inspection $20.00 <br /> Minor Permit$25.00 '� ' <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 /> 7-18-A causes of action that may arise because of installation and maintenance of the <br /> ved for struction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> P remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSP CTI Date 0 <br /> Approved as Constructed Sign V <br /> e of pplic ate <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 />