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Y <br /> PUBLICIWORKS PERMIT Date Appl2d65�2 No017 <br /> City of Everett Public Works Department Public Works Permit#: PW1705-058parent Permit#: <br /> ryp 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 /> MARK NEWLAND SAME <br /> 2408 101ST ST SE <br /> EVERETT,WA, 98208 <br /> PHONE: 2062268752 PHONE: <br /> TAX PARCEL ID#: SITE ADDRESS: 2408 101ST ST SE <br /> DESCRIPTION: EXCAVATION TO FLATTEN FRONT LAWN AREA <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. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan per City of Everett <br /> standard drawing#702. <br /> 5. Contact the City of Everett Public Works InspectorJim Knapert at 425-339-7404 prior to starting excavation. <br /> 6. Any damage to City sidewalk, curb, roadway, etc. shall be replaced per City Standards and/or as directed by the City PW <br /> Inspector. <br /> 7. It is the owner/applicant's responsibility to ensure the safety of pedestrians, vehicles, etc. associated with the scope of <br /> this permit is the sole responsibility of the owner/applicant. <br /> 8. Clear sidewalk of any debris when work is done. <br /> Public Works Permit Fee Breakdown: ktei <br /> Misc. Minor Permits $25.00 <br /> Pw Plan Review(EST) $20.00 <br /> PW Site Inspection $20.00 PR —I VA <br /> 11.4 <br /> C.71 <br /> p� rr.. <br /> ra <br /> City of Everett Official Use Only ACKNOWLEDGEMEf F CONDITIONS <br /> The undersigned owner/applicant Y, eb resit hold and save"` <br /> harmless the City of Everett from X11 c6fill�fa fs for damages,asts, <br /> �� Ole expenses,or causes of action that PIcaase of incl. c ,and <br /> zit <br /> AIM <br /> �1 maintenance of the improvement or other right-of-way useltfatb'applied <br /> A ,pr:!n for Constructio ublic Works) D e -for and further agrees to remove same upon notice from tile.%and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date b v16 - 10/7 <br /> Approved as Constructed (PW Inspector) 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 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 />