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... PUBLIC ORKS PERMIT �ateApplied: 10/19/2017 <br /> City of Everett Public Works Department Publicr,Norks Permit#: PW1710-033 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> - :'`"w'�''';;%:*:.���� <br /> (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DERVIN PETER K& GUADALUPE M DAVIS CONSTRUCTION INC <br /> 1325 MADRONAAVE 18 W MARILYN AVE <br /> EVERETT, WA, 98203 EVERETT, WA, 98204 <br /> PHONE: 4258791033 PHONE: 4255019556 <br /> TAX PARCEL ID#: 00505700003401 SITE ADDRESS: 1325 MADRONA �� <br /> DESCRIPTION: REPLACE EXISTING DRIVEWAYS WITH CONCRETE <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calis 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 10/19/2017. <br /> Approved plans must remain on job-site at all times. <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 /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPP/Plan. Remove uport' ' <br /> 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 roadway: <br /> Public Works Permit Fee Breakdown: <br /> ; ' ', - <br /> ,:;:: <br /> Driveway...................................................$25.00 ,..� <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 <br /> .,i•I:i:���Y�h ti-J:i <br /> �,w�r•..:,r,.�r�.>> <br /> :.:x ", r.:"'� <br /> � <br /> , , k --•..._.,� <br /> City ofEve�ett O�cial Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> �/ Q harmless the City of Everett from any and all claims for damages,costs, <br /> �,`/��� )„ .��� /�_�� —/ � expenses, or causes of action that may arise because of installation and <br /> 'vl�v � GL � maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public pro erty damaged thereby. <br /> �� - j ��--��-_� j <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) e 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. <br />