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PUBLIC WORKS PERMIT Date: 1/14/2016 <br /> Public Works Permit#: PW1601-035 <br /> City of Everett Public Works Department <br /> r` 3200 Cedar Street Parent Permit#: C1510-030 <br /> Everett, WA 98201 Planning Reference#: SEPA15-006 <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KULAGA AHMET WELAYE MAHER <br /> • <br /> 1205 130TH ST SE 15516 56TH AVE W <br /> EVERETT WA 98208 EDMONDS WA 98026 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00393200102700 SITE ADDRESS: 5837 HIGHWAY PL <br /> PW FOR NEW TOWNHOUSE-UNIT 14 OF 18 <br /> Bldg B, Unit 14 OF 18, 5837 Highway PI <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 <br /> Department dated 12/29/2015. w <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with all other inspection requests. See attached to request iE. <br /> an inspection. C46. No dirt, mud, rocks, or debris to be tracked onto roadway. Keep City streets clean at <br /> all times. <br /> Public Works Permit Fee Breakdown: C <br /> Driveway$25.00 <br /> PW Plan Review$20.00re <br /> n n Z <br /> PW Site Inspection$20.00 ll.�J Vim° O <br /> C 2 9 2016 J N <br /> up <br /> CITY OF EVERETT C <br /> Permit Services g:LI <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> —�J City of Everett from any and all claims for damages,costs,expenses,or <br /> �� it_ # [�n �--a8 ��� causes of action that may arise because of installation and maintenance of the <br /> ,5411 App.,. • for Constr io V�- 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 /> 1 2-13-/ <br /> 13`/ 7 damaged thereby. <br /> FINAL INSP TION Date ilebt jovizfri. <br /> O6 <br /> Approved as Constructed Signature of Applicant <br /> Olt <br /> to <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 COMPLb I ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />