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-Mok PUBLIC IORKS PERMIT •Date Applied: 4/14/2017 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1704-019 <br /> 3200 Cedar Street Parent Permit#: B1702-015 <br /> ;,„maiEverett, WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $90 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CARTER DONALD W& MARLA J JENSEN OMAR <br /> 4612 SEAHURST AVE <br /> EVERETT, WA, 98203 , , <br /> PHONE: PHONE: 4252390810 <br /> • <br /> TAX PARCEL ID#: 00505700001001 SITE ADDRESS: 4612 SEAHURST <br /> DESCRIPTION: NEW GARAGE/ DEMO CARPORT <br /> (4/14/2017 1:49 PM BES) <br /> NEW GARAGE/ DEMO CARPORT AND PAVE IN FRON OF GARAGE <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 Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 04/14/2017 and <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and remove upon completion of the <br /> project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be managed <br /> on-site in a manner that does not adversely affect neighboring properties. <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control $50.00 <br /> PW Plan Review $20.00 e ap <br /> PW Site Inspection $20.00 <br /> �PR252017IlDjCUT or � <br /> Perin it <br /> Ser ETT <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> - The undersigned owner/applicant hereby agrees to hold and save <br /> WAND. <br /> = harmless the City of Everett from any and all claims for damages,costs, <br /> _= _ ,,-0.1;..0.1.- 1 ,J 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 /> •prov=. or Constructio t•lic .arks) la e for and further agrees to remove same upon notice from the City and to <br /> I 4, <br /> / replace public property damag-• . ereby. <br /> F AL INSPE ISN Date 7S--)04--/ <br /> Approved as C:nstructed (PW Inspector) Signature of Appy nt Da{{{e <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPONAN STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />