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et hiko <br /> -- � - PUBLIVORKS PERMIT Date: 742,5,129-1-6 <br /> "' ' Public Works Permit#: PW1607-042 <br /> . _ City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1604-111 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 85.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ANDERSON SHELDON ANDERSON SHELDON <br /> 1602 COLBY <br /> EVERETT WA 98201 <br /> PHONE: 2066585922 'PHONE: <br /> TAX PARCEL ID# 00438034103100 SITE ADDRESS: 1602 COLBY AVE SE <br /> PAVING FOR NEW PARKING PAD <br /> EVERETT DIV L PLAT OF BLK 341 <br /> D-00-N1/2 LOT 31 &ALL LOT 32 <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 7/25/2016. w <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. H <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and <br /> remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> C <br /> 8. Protect all existing underground utilities during construction. <br /> 9. Paving for parking pad must be an approved paved surface and must extent to meet <br /> alley paving. 4 <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new as �, n s0 O <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect i� <br /> neighboring properties, including the City's right-of-way and/or easements and the �..1 <br /> improvements located therein. v <br /> SEP — 1 2016 C <br /> Public Works Permit Fee Breakdown: a <br /> Paving (190sf parking pad) $45.00 CITY OF er EVERETT <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> as. City of Everett from any and all claims for damages,costs,expenses,or <br /> jel��� "�ot J ��6 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 /> da d` ereb . <br /> FINAL INSPECTION Date 9/ / <br /> Approved as Constructed 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 <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 /> it <br />