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24AUG 4„ i1 <br /> PUBLIC IORKS PERMIT —ate Applied: 7/31/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1707-055 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $435 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HILL STREET INVESTMENT LLC STEPHENSON TOM <br /> PO BOX 5459 <br /> EVERETT, WA, 98206 <br /> PHONE: PHONE: 4252596258 <br /> TAX PARCEL ID#: 00576002600009 SITE ADDRESS: 2425 39TH ST <br /> DESCRIPTION: NEW DRIVEWAY IN RIGHT OF WAY FOR ROYELL MFG <br /> THIS PERMIT INCLUDES DRIVEWAY INSTALLATION, DRAINAGE AND EROSION CONTROL <br /> THIS DRIVEWAY SHALL BE PRIVATELY OWNED AND MAINTAINED WITHIN THE UNIMPROVED 39TH ST RIGHT OF <br /> WAY <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'. -14; "-4 <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call cdeee-met cunt. TALE FREEAlUllaadt 811. <br /> 4. Site Civil Work to be done per plans, SWPPP, and drainage report approvi byt*3.4.y4,f verg'tt ii c ViThrks <br /> Department dated 0423/2017. Approved plans must remain on job-site at all Vines Fy <br /> Cr) <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7, 43 prior to starting cffistructeri to'Rrt;�ap a <br /> pre-construction consultation. All inspections must be formally requested. See tk attached handout for phone numbe and <br /> online instructions to Request an Inspection. u } <br /> rap W ra -.) -a <br /> -C"t'mi°1 CGi:.i r.M^. •EBF--J h- <br /> Z-•.rr7'�GCa <br /> r.s C �>Ca rj V S l T7 C�1 Wx co <br /> Public Works Permit Fee Breakdown: <br /> Paving (Curb &Sidewalk Restoration) $45.00 e�� r/ <br /> PW Plan Review $20.00TO , - I!_L. (9 <br /> PW Site Inspection $20.00 <br /> Erosoin Control $200.00 <br /> Grading $150.00 <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 /> �- ^23 l7 expenses,or causes of action that may arise because of installation and <br /> A <br /> C7— -• L� maintenance of the improvement or other right-of-way use here to applied <br /> App • or Construction ' .blic Works) Date for and furth-r agrees to rem e same upon notice from the City and to <br /> i' rep ai publ' property da age thereby. <br /> r �► <br /> -Z3-0 'fir' 23117 <br /> FINAL INS' ON Date <br /> Approved as Constructed (PW Inspector) Signature • 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 />