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0 � AUG 201� <br /> .,�. PIJ�LIC�/ORKS PERMIT �DateApplied: 8/3/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1708-002 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> - � .ti�,��`��"��`':jw�n.'�� <br /> (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT fVAME AND ADDRESS: <br /> CASCADE HIGLANDS HOMEOWNERS ASS. [AppName] <br /> 11014 19th Ave. SE suite PMB#204 [AppAdd] <br /> EVERETT, WA, 98208 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> TAX PARCEL ID#: SITE ADDRESS: 10425 29TH AVE S E <br /> DESCRIPTION: REPLACE A DAMAGED DRIVEWAY APRON <br /> (8/3/2017 1:46 PM BES) <br /> REMOVE AND REPLACE A DAMAGED DRIVEWAY APRON <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett `Design and Construction Standards <br /> and Specifications for DevelopmenY. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting constructi�� and�yv�$h <br /> other inspection requests. <br /> -,, ,. ,_, <br /> _. ,......,.,_� _.. � <br /> , - �:-; <br /> 6. Site work to be done per plan approved on 08/04/2017. _.., _..-„ „ y-° � <br /> 7.Cement concrete driveway apron shall be replaced per City Standard #315. :T`,;i;--- ':::_-:.:_-- �__ _� <br /> - ;�, <br /> �� <br /> ,.: _ , <br /> _: ......_ ._. o <br /> ,_.: ,_,..; :<::_ r��°, �_.:. <br /> _._: <br /> -.... .-- � <br /> �-_, - �:; <br /> Public Works Permit Fee Breakdown: , - <br /> PW Plan Review..............$20.00 ' <br /> ,_. <br /> PW Site Inspection..........$20.00 '��'''' <br /> Wr. <br /> ,,.; . _, <br /> Driveway..........................$25.00 p7� ,;. <br /> _:�d �ft4•Ff4 �GSi .... <br /> �.. <br /> r�.�r...�r•.� <br /> ;°:��'����r r��;,��^a <br /> _ „ .. �......:. <br /> �^^r _ _'o _ [_�., <br /> � .._.. .o,� ....... .=. .._.. =o <br /> _' I_„ _' <br /> :::I <br /> `i'�: <br /> City ofEve�ett O�cial Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> �1 The undersigned owner/applicant hereby agrees to hold and save <br /> ___ ' ` i harmless the City of Everett from any and all daims for damages,wsts, <br /> ' _ _ ___�_ ' ��; �, c,! �/ expenses, or causes of action that may arise because of installation and <br /> � maintenance of the improvement or other right-of-way use here to applied <br /> Ap r for Constructio ubIIC WOI" S� Dat for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> 1 J <br /> FINAL INSPECTION Date ��-������ �' � ����� f���, <br /> Approved as Constructed (PW Inspector) Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.Tf1IS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />