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'7 <br /> PUBLIC IMRKS PERMITto Applie 5/3 72LJ 317 <br /> City of Everett Public Works Department Publicbtorks Permit#: PW1705-059 <br /> 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 /> SHARJAH ENTERPRIZES, LLC KAHLON KERM <br /> 3831 185TH PL SW 3831 185TH PL SW <br /> LYNNWOOD, WA, 98037 LYNNWOOD,WA, 98037 <br /> PHONE: 4252184022 PHONE: 4252184022 <br /> TAX PARCEL ID#: SITE ADDRESS: 425 W CASINO RD <br /> DESCRIPTION: REMOVE ASPHALT AND REPLACE WITH CONCRETE <br /> THIS WORK INCLUDES REMOVAL OF 1690 SQUARE FEET OF ASPHALT AND REPLACING IT WITH CONCRETE. <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. Install erosion control measures as determined by the Public Works Inspector, such as inlet protection and street <br /> cleaning. P <br /> 5. Keep City streets clean at all times. , -4 <br /> 6. Contact the City of Everett Public Works InspectorJim Knappert 425-339-7404 prior tORtartUggEarltruction d with <br /> other inspection requests. See attached to request an inspection. ;:V <br /> 7. Work area to be as designated on attached drawing. <br /> r..., <br /> 8. Replace striping as originally done. (Any work on the accessible parking space must meeurrent standards) <br /> -4 <br /> •S43 . <br /> Public Works Permit Fee Breakdown: "�' ' <br /> -I ^-1 <br /> Misc. Minor Permits $25.00 ,.. <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> City of Everett Official 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 /> SJ -`3®� 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 /> 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 /> if-ay- 18 ���� <br /> FINAL INSP N Date /P /' / tifa/1°/ <br /> Approved as Constructed (PW Inspector) ig atu - of App cant 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 />