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PUBLIC �ORKS PERMIT �ateApplied: 9/18/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1709-030 <br /> 3200 Cedar Street Parent Permit#: <br /> � �k.�_..� <br /> Everett,WA 98201 Planning Reference#: <br /> £ t�; �'k;�'� (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> STOLL TOM HIKILA SWEET <br /> 14631 SE 45TH ST <br /> BELLEVUE, WA, 98006 , , <br /> PHONE: PHONE: 3605948710 <br /> TAX PARCEL ID#: 00439079402600 SITE ADDRESS: 3312 LOMBARD AVE <br /> DESCRIPTION: CUT 8� REMOVE CURB FOR NEW DRIVEWAY <br /> THIS PERMIT INCLUDES REMOVAL OF THE EXISTING SIDEWALK AND INSTALLATION OF A DRIVEWAY RAMP PER <br /> CITY STANDARDS. IT ALSO INCLUDES PAVING OF THE PARKING AREA BEHIND THE SIDWALK TO PARK TWO <br /> CARS. <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett `Design and Construction Standards <br /> and Specifications for DevelopmenY. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FRE��IUAflBER 811. <br /> ;._ ; :,.. . <br /> 4. Site Civil Work to be done er lans a roved b the Cit of Everett Public Works De art��er�t dah�d:09/1�12017. <br /> p p pP Y Y p <br /> Approved plans must remain on job-site at all times. - <br /> � . <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construcfiiin for,a.,._ <br /> consultation, to evaluate traffic control, erosion/sedimentation control set-up, and with all other inspection req'aests;:;; _;' <br /> , --�'='- <br /> 6. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as ��� <br /> directed by the City PW Inspector '''�'' <br /> - ��'� :::-_._:-, ,_:;;. _. <br /> r•..:a r•._,�_; <br /> -i��t_�r--���, <br /> _ . 4n��} ... - <br /> .. .�..' .�6� <br /> Public Works Permit Fee Breakdown: " <br /> __, �:.. _,.. <br /> Drivewa 25.00 ``` <br /> y.....................................................$ �., <br /> _ .: <br /> PW Plan Review........................................$20.00 <br /> PW Site I nspection....................................$20.00 �,a>� �� =�, ._� .�+.; <br /> � :� 1 <br /> � . � <br /> City ofEve�ett O�cial Use On/y ACKNOWLEDGEMENT OF CONDITi0N5 <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> /� harmless the City of Everett from any and all claims for damages,costs, <br /> c O � O„/O_�'7 expenses,or causes of action that may arise because of installation and <br /> ��'L' 6 � � � maintenance of the improvement or other right-of-way use here to applied <br /> Appro ed for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace blic pro da g thereby. <br /> FINAL INSPECTlON Date <br /> Approved as Constructed (PW Inspector) Signatu Ap ica Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PER S I SUED AND THEREA R IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />