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PUBLIC ARKS PERMIT Date: 7/27/2016 <br /> Public Works Permit#: PW1607-050 <br /> City of Everett Public Works Department <br /> -''.7 3. 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: SS12-001 <br /> (425) 257-8810 <br /> Public Works Fee$: $ 110.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NEAMTIU JAMES NEAMTIU JAMES <br /> 10413 MERIDIAN AVE S 10413 MERIDIAN AVE S <br /> EVERETT WA 98208 EVERETT WA 98208 <br /> PHONE: 4257809175 PHONE: 4257809175 <br /> TAX PARCEL ID# 00396900004700 SITE ADDRESS: 25 104TH ST SE <br /> SITE DEVELOPMENT FOR NEW SFR <br /> BROADWAY CREST BLK 000 D-00 <br /> LOT 47 <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 ; ; —i <br /> `' <br /> 4. Site Civil Work to be done per plans and Stormwater Managemnt-Questionnaic 1.--1-1-1—.1-- --..1--.• r :d ' <br /> approved by the City of Everett Public Works Department dat .6.4.1=,14„,-r,„ c„ �„cn r--0-„ taw <br /> —4 <br /> {-r•, —4 r I--�--.7,m r'- .: <br /> 5. Contact the City of Everett Public Works Inspector Jim Kn �r 9-71fl . L. w c c2 W <br /> prior to starting construction and with other inspection request'Cal fi�ctic; ; y <br /> Voicemail Line at 425-257-8881 to schedule an inspection. `` c-, ISI <br /> 6. Install erosion control measures per City of Everett Standardsrior small parcels and m -� '� <br /> remove upon completion of the project prior to final approval of t permit. G � � <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto ��:'_^ <br /> roadway. I—, <br /> 8. Protect all existing underground utilities during constructiorl�; j <br /> r- .,— • <br /> r. c3+ r [ . <br /> 1.---4-.1 <br /> .r 1 .rte, .rte.r 1.4?.. w.I-' -* •,yry cri rvJ a un r-i.c, <br /> Public Works Permit Fee Breakdown: '.,C'P�'�n�" "--.,as.=-•,P.C'"'C-n ca c l �, <br /> Paving $45.00 0718' 3':,) g u'c"`3 €� �; c� � <br /> -44 <br /> Misc. Minor Permits(Drainage Work) $25.00 ;- Eimm <br /> PW Plan Review $20.00 '—"' <br /> CA <br /> PW Site Inspection $20.00 <br /> TO ?C <br /> PSTINGJ 4pio <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> A/PAL Clef/4k <br /> g f /4 City e ofacti from any and all because <br /> for damages,costs, mai expenses,or <br /> N/ causes action that may arise because of installation and maintenance of the <br /> proved for C nstruction Dae improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice f om the City and to replace public property <br /> ��,:4. `` ' �Q l damaged t arab <br /> FINAL INSPECTION Date o / R/2/' (o <br /> Approved as Constructed Sig AIIP e f Applicant Date <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 T S PRO VER 90 DAYS DURATION. <br /> f [�. f <br />