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PUBLIC �RKS PERMIT �ateApplied: 12/18/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1712-031 <br /> - 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> -" ' t,� ► (425) 257-8810 Public Works Fee; $65 <br /> 9 8 DEC �a17 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> REED BARBARA L STEVE'S PLUMBING LLC <br /> 4919 DOGWOOD DR 2125 196TH ST SW#126 <br /> EVERETT,WA, 98203-3102 LYNNWOOD,WA, 98036 <br /> PHONE: PHONE: 4257740483 <br /> TAX PARCEL ID#: 00449500004402 SITE ADDRESS:4919 DOGWOOD DR <br /> DESCRIPTION: BORE NEW WATER SERVICE FROM METER TO HOME <br /> THIS PERMIT TO BE POSTED ON JOB S1TE 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 DevelopmenY. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Traffic Control shall be done per City Standard#703, the MUTCD and as directed by the Public Works Inspector. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> 9. Any damage to Ci#y improvements(sidewalk, curb, roadway, etc.)shall be replaced per City Standards and/or as <br /> directed by the City PW Inspector <br /> Public Works Permit Fee Breakdown: ��� <br /> Misc. Minor Permits ..............................$25.00 � <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 ��� � � <br /> ���� <br /> �'(js�; <br /> �'err��s������ <br /> c.�s <br /> CityofEve�ettOfficial Use On/y 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 /> 1�`'1�—,l 7 expenses,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 /> App ed for Construction (Public Works) Date for and fu er agrees to emove same upon notice from the City and to <br /> replace lic properly maged thereby. <br /> FINAL INSPECTION Date � <br /> Approved as Constructed (PW Inspector) Signat of Applicant D <br /> WORK AUTHORIZED BY THIS PERMII'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 />