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PUBLICOORKS PERMIT Date: 12/24/2015 <br /> Public Works Permit#: PW1512-026 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1512-009 <br /> r>a J Everett, WA 98201 <br /> (425)257-8810 Planning Reference#: <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> IDEGWU ROSE IDEGWU ROSE <br /> 2017 126TH PL SE 2017 126TH PL SE <br /> EVERETT WA 98208-6539 EVERETT WA 98208-6539 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00902200001300 SITE ADDRESS: 2017 126TH PL SE <br /> CNVRT GARAGE TO ADDTL BEDROOMS <br /> INSTALL ADDITIONAL DRIVEWAY ON 20TH DR SE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 n; —1F1 <br /> 4. All excavated material from foundation, sidewalk, and driveways shall be hauled-to-an 1--1--.1--,1-1--!--_ g ''�-' <br /> approved, permitted site. No wasting of material is allowed on this building t„ -', ,_,.,;,-,.,.-„,-, :z-, , -•`-•' ° <br /> Inspectorpp - r--r--c-1 I -; - im W <br /> 5. Contact the Cityof Everett Public Works Jim Knappert 425-3 %4� I' , -t:_ ; <br /> to starting construction, to evaluate traffic control set-up, and with other ins cti r.;;; tx$ ,— <br /> requests. See attached to request an inspection. ; H <br /> 6. Provide any necessary Erosion control for this project as directed by the City Public CA <br /> mcra <br /> Works Inspector. c ,'...F'. op <br /> 7. The driveway cut for this new driveway shall be installed per City of Everettandard ; o <br /> #307 as modified to transition to rolled curb . Street shall be saw-cut far enouV out to r` <br /> accommodate forms gutter installation. L <br /> 8. It is the applicant/owner's responsibility to ensure that stormwater runoff s;K' . ,. -: `� <br /> impervious surfaces will be managed on-site in a manner that does not adietber,a� 18 N' <br /> , <br /> neighboring properties, including the City's right-of-way and/or easements h8 8 Ti= _. = <br /> c- I <br /> ir...3improvements located therein. ? <br /> mac., <br /> CA <br /> Public Works Permit Fee Breakdown: O <br /> PW Plan Review$20.00 ''' P N 3) <br /> PW Site Inspection $20.00 =_ ,<� i, g PO <br /> Concrete Driveway$25.00 <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 _ I _ causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> A..roved for Construction y Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date S -tp /A -- <br /> Approved as Constructed Si nature of A lican`r <br /> Sigpp 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 THIS PROJECT OVER 90 DAYS DURATION. <br />