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���`.'�i����� ����'� • Date: 4/15/2010 <br /> Public Works Permit#: PW1604-020 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1604-008 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 2,440.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WHITE CHARMIEN WHITE CHARMIEN <br /> 3316 HOYT AVE 3316 HOYT AVE <br /> EVERETT �/Vq 98201 EVERETT WA 98201 <br /> PHONE: 4253450286 PHONE: 4253450286 <br /> TAX PARCEL ID# 00436978902500 SITE ADDRESS: 3316 HOYT AVE SE B <br /> CONVERT BASEMENT TO 2ND UNIT/TRAFFIC MITIGATION <br /> THIS PERMIT IS FOR INSTALLING THE PARKING FOR THIS DUPLEX CONVERSION <br /> EVERETT DIV A PLAT OF BLK 789 <br /> D-00 - LOT 25 LESS S 8FT&ALL LOT <br /> 26 <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 Works <br /> Depaitrnent dateci 04/15/2016. (copy �ttached) <br /> 5. Any damage to the City Sidewalk or other improvements shall be repiaced at the w <br /> direction of the City Public Works Inspector. �I <br /> 6. It is the applicant/owner's responsibility to ensure that stormwater runoff from new h�i <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect � <br /> neighboring properties, including the City's right-of-way and/or easements and the � <br /> improvements located therein. O <br /> 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior � <br /> to starting construction and with all other inspection requests. See attached to request <br /> an inspection. , Z <br /> 8. Applicant is required to sign a hold-harmless agreement with regards to the use of the� : O <br /> 4" side-sewer. �� j `; <br /> I <br /> Public Works Permit Fee Breakdown: �•; � <br /> PW Plan Review$20.00 �r� � � ���� �=�--J ^ � <br /> PW Site Inspection $20.00 ,i �-�� �;,��� - � <br /> Traffic Mitigation $2400.00 ,t `;: A-I <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 /> �-,;��,� L�—��/� causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove s me upon notice from the City and t��replace public property <br /> d age �hereby. <br /> ! ' � / <br /> FINAL INSPECTION Date �� �'� �,I/�� � ����' � <br /> A roved as Constructed � J�� 1 ���'�� ' �J, / <br /> pp ature of Applicant Date <br /> WORI<AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 D�YS Of=DATE PERMIT IS ISSUED AND THEf.EAFT[R IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIIY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURA7ION. <br />