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0 3 OCT 2017 <br /> PUBLICIORKS PERMIT Date Applied: 8/11/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1708-019 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> } (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DEMINA OKSANA DEMINA OKSANA <br /> 2615TH 97TH PL SE 2615TH 97TH PL SE <br /> EVERETT, WA, 98208 EVERETT, WA, 98208 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: SITE ADDRESS: 2615 97TH PL SE <br /> DESCRIPTION: REVISE DRIVEWAY TO MEET CODE <br /> ADJUST CONFIGUATION OF DRIVWAY INSTALLED PREVIOUSLY. SAWCUT CONCRETE AND REMOVE PORTION OF <br /> DRIVEWAY <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..NUM E.R 811. <br /> 77:2 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 09/1801 <br /> Approved plans must remain on job-site at all times. I F <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to rting construc gn for a <br /> consultation and with all other inspection requests. <br /> G? 1 <br /> 6. KeepCitystreets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> Y CD <br /> 7. 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 r0;f � . . <br /> a r•.ar•.jr� <br /> 'Me 24 <br /> L7I—C7 <br /> Public Works Permit Fee Breakdown: t--•0-- <br /> Misc. Minor Permits $25.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <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 /> /-/?-/7gexpenses,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 /> Appro d for Co truction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTIO Date ` t <br /> Approved as Constructed (PW Inspector) Signature of 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 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 />