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PUBLIC WORKS PERMIT Date: 8/11/2017 <br /> Public Works Permit#: PW1708-018 <br /> - City of Everett Public Works Department <br /> , 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CHIN HERBERT CHIN HERBERT <br /> 14524 SE 79TH DR 14524 SE 79TH DR <br /> NEWCASTLE WA 98059 NEWCASTLE WA 98059 <br /> PHONE: 4252778270 PHONE: 4252778270 <br /> TAX PARCEL ID# 00438230501700 SITE ADDRESS: 1532 BROADWAY <br /> REPLACE ASPHALT IN RIGHT-OF-WAY <br /> 20'X12' PAVEMENT <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. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works l--.•1- +°,,,,4`' <br /> Department dated 8/11/2017. Approved plans must remain on job-site at all times. C1 w <br /> ,`tea7.,. ...4 C) <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior �s K [�I <br /> to starting construction for a consultation, to evaluate Erosion/Sedimentation control ..55 Il <br /> set-up, and with all other inspection requests. :a r Up <br /> 6. Install and maintain erosion control measures per City of Everett Standards and/or as -- 1_— AA <br /> directed by the Inspector. Remove upon completion of the project prior to final approval 'A O <br /> of the permit. .' <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto Lj -'� <br /> w <br /> y . -:+ "= Z <br /> roadway. �-,P r....x�:, <br /> 8. Protect all existing underground utilities during construction. ��'' '�" �- O <br /> 8 8 E} : <br /> ca a , t— .n <br /> -1r.icr <br /> Public Works Permit Fee Breakdown: ; �..I <br /> Paving $45.00 `�` ' <br /> 04 <br /> PW Site Inspection $20.00 O <br /> PI <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> jaITMA_ LefirA_ 8 -11-Z8/3-- City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> pp remove same upon notice from the City and to replace public property <br /> damaged ereb .1 <br /> FINAL INSPECTION DateII 17 <br /> Approved as Constructed S g atu pJ a Appli a`nt Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> g <br />