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PUBLIC O/ORKS PERMIT Mate Applied: 4/23/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1704-045 <br /> 3200 Cedar Street <br /> Parent Permit#: <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 k <br /> /�'� JC EBERT <br /> 2812 HEWITT ` 2911 1/2 HEWITT AVE <br /> EVERETT, WA, 98201 \\ Q� EVERETT, WA, 98201 <br /> PHONE: 4252590044 <br /> S:11 PHONE: 4252589366 <br /> V Q <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. Sit= o = *- done per plans approved by the City of Everett Public Works Department and Planning Department <br /> dated xx/2017. <br /> "6 Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. See attached to request an inspection. <br /> Any damage to the City Sidewalk or other improvements shall be replaced at the direction of the City Public Works <br /> Inspector. — �` / <br /> �'" 7pl a h n%/) 1�C�f 7�spe 7'o.7 /5 I'e6 r.K/.G c/pet or `{b 't 0a f%n ?€t 1,< <br /> (/ r tion Al 4% 2c7-7 701 or �4cfo0 G� <br /> Gp 4.1-01L <br /> trc7f t4I.7 V. <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 /> PLANNING APPRQ-yogf FvPrpftOfficial IIcp 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 /> 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 /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature 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 />