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• <br /> 5"11(7 <br /> PUBLIC mORKS PERMIT rate Applied: 4/23/2017 <br /> Public Works Permit#: PW1704-045 <br /> City of Everett Public Works Department <br /> Parent Permit#: <br /> 3200 Cedar Street <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RUBATINO REFUSE CJ EBERT <br /> 2812 HEWITT 2911 1/2 HEWITT AVE <br /> EVERETT, WA, 98201 EVERETT, WA, 98201 <br /> PHONE: 4252590044 PHONE: 4252589366 <br /> TAX PARCEL ID#: SITE ADDRESS: 2730 HARRISON AVE <br /> DESCRIPTION: LANDSCAPING AND FENCING ALONG PUBLIC RIGHT OF WAY <br /> THIS PERMIT INCLUDES WORK TO BE DONE AS DIRECTED BY CODE COMPLIANCE <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 Development'. <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 work to be done per plans approved by the City of Everett Public Works Department and Planning Dep�al:,tme r, <br /> dated 05/05/2017. Fai <br /> i—n'r7 <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to staging actidWand with <br /> other inspection requests. See attached to request an inspection. ; rn <br /> co <br /> --� <br /> J <br /> 6. Any damage to the City Sidewalk or other improvements shall be replaced at the direction of the City Publicilorl ;" <br /> Inspector. 'I— <br /> • <br /> 7.A Planning Department inspection is required prior to finaling permit. Contact Teresa Weldon *425-257-7281 or <br /> tweldon@everettwa.gov. E : <br /> Crl r <br /> t <br /> ,N. :F.Y <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 /> PLANNING APPROV L7 <br /> City of EverettOifcial Use Only 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 /> 5-5---/ 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 /> Appro d for Construction (Public Works) Date for anted • .--,..rees o r- 've s.--- ..n notice from the City d to <br /> reo.. . . bli .%ro• •• ..mac-. ;.y. <br /> 111111111100' -2/7 <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) gnature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT 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 />