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P U B L 1 C �RKS P E RM I T Date: 7/6/2016 <br /> Public Works Permit#: PW1607-006 <br /> City of Everett Public Works Department <br /> 3200 Cedar Streefi Parent Permit#: <br /> � � �.��� Everett WA 98201 <br /> �_ � Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KONONOV, NIKOLAY KONONOV, NIKOLAY <br /> 1915 106TH ST SW 1915 106TH ST SW <br /> EVERETT �/�/q 98204 EVERETT WA 98204 <br /> PHONE: 4253463573 PHONE: 4253463573 <br /> TAX PARCEL ID# SITE ADDRESS: 1915 106TH ST SW <br /> POUR NEW CONCRETE DRIVEWAY OUi'TO STREET AND OVER EXISTING <br /> THIS DRIVEWAY RECONSRUCTION WILL BE DONE TO CORRECT DRAINAGE WHICH CURRENTLY FLOWS <br /> UNDER HOUSE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be mads 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 -";� �,� � <br /> 4. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 �--��-��-• � ;�,� '' <br /> prior to starting construction and with other inspection requests. See attached to request �����, �' ' <br /> an inspection �; �,�,.a�; � w <br /> �1 '�'`�`��� '�-r � <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such =? �I <br /> as silt fence, straw bales, swales, or erosion blankets. *' m ?� <br /> � ��� <br /> 6. Any damage to the City Sidewalk or other improvements shall be replaced at the , <br /> direction of the City Public Works Inspector. t� w`� <br /> ��1 �� <br /> 7. It is the a licant/owner's res onsibilit to ensure that stormwater runoff from new �;r� ��� <br /> PP p Y r•.�ra r•a <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect ��"'�n°�'"' <br /> �>�����a r y <br /> neighboring properties, including the City's right-of-way and/or easements and the `=-' �:.,;=�, .�� <br /> improvements located therein. �i;�; "� <br /> �.,.,,-.. � <br /> 8. No dirt, mud, rocks, or debris to be tracked onto roadway. O <br /> Public Works Permit Fee Breakdown: � <br /> Misc. Minor Permits)......$25.00 <br /> PW Plan Review...............$20.00 <br /> PW Slt@ InSp2Ct1011...........$20.00 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> � �.� � causes of action that may arise because of installation and maintenance of the <br /> Ap ved for Construction Date �mprovement or other right-of-way use hereto applied for and further agrees to <br /> remove same up notice from the City and to replace public property <br /> damaged ther y. <br /> FINAL INSPECTION Date � �o � <br /> Approved as Constructed Signa e of Applicant te <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFi'ER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> ��C� <br />