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PUBLIC WORKS PERMIT °ate: 4i3i2o�3 <br /> -� Public Works Permit#: PW1304-001 <br /> -- City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; D1303-002 <br /> Everett, WA 98201 Planning Reference#: <br /> {425)257-8810 <br /> Public Works Fee$: $ 360.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> GARNER KATHLEEN <br /> 1415 BROADWAY <br /> EVERETT Wq 98201 <br /> PHONE: 4257540303 PHONE: <br /> TAX PARCEL ID# 00547428700600 SITE ADDRESS: 1411 BROADWAY AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> CONVERT LOT TO PKG LOT W/LANDSCAPING <br /> TO CREATE PARKING ' � <br /> � <br /> d 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 <br /> 4. INSTALL SITL FENCE PER CITY STANDADRS AND REMOVE UPON COMPLETION OF PR�jJE�,�'� <br /> 5. NO DIRT, MUD, ROCKS OR DEBRIS TO BE TRACKED ONTO ROADWAY. :�-� r-� <br /> E--�N�. �-.- r..-.F_.� ,�;, <br /> 6. NEED SEPARATE PERMIT FOR THE RELOCATION OF THE SIGf� � „�� W <br /> �:,�:��:r��z� <br /> 7. PARKING RUNOFF MUST FLOW ONTO THE EXISTING CAT���.� ,_.�`; �,- <br /> 8. MAKE SURE THE UILITIES(SEWER,WATER)ARE CAPPED. �'`" ��� � � ;..�. � <br /> 9. CONTRACTOR MUST CONTACT CITY OF EVERETT INSPECTOR f��`NL�3Y ALLEN 425-33��403 PRIOR TO � <br /> STARTING CONSTRUCTION. �_ �,::•a <br /> r�.a rn.�.'�. O <br /> cr� � <br /> � �_�. <br /> t�-� .,,.� �"', <br /> '�'� r�""' <br /> C°:.�".'� � <br /> �p�a [W,•' . <br /> Y""�,. O <br /> . Z� <br /> � . �Kt q�u" ��r}1,...�. FM•�. hw <br /> .� [�.'�t--y r_..f t�r_a.t �� '� ' <br /> r�.a e :�a--�c:��r-�r:::y�r ca-� �.,.� <br /> .s�.�y�r.x�c+v�.�-•c}..�•.,�.c� <br /> r�'� .r�'��,-�'c.;'�` sH--�`C.�.n�a ��'' � <br /> Ca c...�a�.�x r�.a r'.�+^ �+ C+„� � <br /> �-i�h� <br /> �.�,a a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses, or causes of action that may arise <br /> � because of installation and maintenance of the improvement <br /> �� or other right-of-way use hereto applied for and further agrees <br /> A ro for Co r c i Dat to remove same upon notice from the City and to replace <br /> p public property damaged thereby. <br /> FINAL INSPECTION Date "����3 <br /> Approved as Constructed ignature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER TS 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 />