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<br /> PUBLIC ��ORKS PERMIT DateApplied: 9/14/2017
<br /> City of Everett Public Works Department Public Works Permit#: PW1709-026
<br /> 3200 Cedar Street Parent Permit#: C1708-023
<br /> Everett, WA 98201 Planning Reference#:
<br /> ���''�h� �, � (425) 257-8810 Public Works Fee: $85.00
<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br /> SHIKESSO TESHOME & SETEGN MULUEMEBET A LAVISTE CARMELO
<br /> 6C W INTERCITY AVE
<br /> EVERETT, WA, 98204-2730 , ,
<br /> PHONE: PHONE: 2066832395
<br /> TAX PARCEL ID #: 00480201000202 SITE ADDRESS: 6 W INTERCITY AVE BLDG C
<br /> DESCRIPTION: NEW CONCRETE WALKWAY
<br /> APPROXIMATELY 200SF +/-
<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 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. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 9/14/2017.
<br /> Approved plans must remain on job-site at all times. ;- _, ,; .
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<br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction fn�'a
<br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all othcr inspeoti0n r��{uests, i`noli�dir�g;inspection of
<br /> formwork prior to pouring concrete. '' '''
<br /> 6. Install and maintain erosion control measures per City of Everett Standards and per th�'c{irection of the PW Inspector, as
<br /> needed. Remove upon completion of the project prior to final approval of the permit.
<br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto ro�dway.
<br /> 8. Protect all existing underground utilities during construction.
<br /> 9. This permit must be finaled in order to close out this permit. Call the inspection liris to request final inspection (425-2�7-
<br /> 8881). -
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<br /> Public Works Permit Fee Breakdown: _ •-: �:.�j>: ;::.,::_s ,:�;�-_, ..�:>..
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<br /> PavinWalkwa ; T, =, _.:�:-�,;....7 -,,:::,
<br /> 9 � Y).....................................$45.00 �� _,, , . �,_,
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<br /> PW Plan Review.......................................$20.00 ,, _
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<br /> PW Site Inspection....................................$20.00 _....., .
<br /> City ofEverett O�cial Use Only ACKNOWLEDGEMENT OF CONDITIONS
<br /> J The undersigned owner/applicant hereby agrees to hold and save
<br /> i ' `- � � ` / harmless the City of Everett from any and all claims for damages, costs,
<br /> �,�� '�� ��� ,. -�`�,�j��� �� c����.i i ������� expenses,or causes of action that may arise because of installation and
<br /> :> ���� '�� maintenance of the im provement or other ri ght-of-wa y use here to a p plied
<br /> Approved for Cons uction (Public Works) Date for and further agrees to remove same upon notice from the City and to
<br /> � replace p i operty damaged thereby.
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<br /> FINAL INSPECTION ~Date � Z'"L l�
<br /> Approved as Constructed (PW Inspector) gn of Applicant Date
<br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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.
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