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to .9 Jim <br /> ar�� <br /> PUBLICSIORKS PERMIT Uate Applied: 6/2/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1706-003 <br /> 3200 Cedar Street Parent Permit#: C1705-003 <br /> Everett,WA 98201 Planning Reference#: <br /> - (425)257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NAMAMBA VINCENT 0 & LUKANO PATRICIA K BROWN FRED <br /> 224 109TH ST SE <br /> EVERETT, WA, 98208-7012 , <br /> PHONE: PHONE: 2069924982 <br /> TAX PARCEL ID#: 00676500001000 SITE ADDRESS: 224 109TH ST SE <br /> DESCRIPTION: GARAGE CONVERSION TO HABITAL FOR ADULT FAMILY HOME <br /> THIS WORK COVERS INSTALLATION OF THE NEW PARKING 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 /> -- —li <br /> 4. Install parking space as indicated on plot plan submitted. I-....}--.1.--,1—`1--,1—.1--L i-.,a-1.a--. r,,,,l�' <br /> �y ---3 ° <br /> r1 F.-C:�.J:1 r....r 7..rTi i — 43:- ..tee:: <br /> 5. Keep City streets clean at all times. ,'In' <br /> E cs c-D 22 -, P <br /> •6. It is the applicant/owner's responsibility to ensure that stormwater runoff from new iervious surfaces will dmanaced <br /> on-site in a manner that does not adversely affect neighboring properties, including thcf*ity's right-of-way and/ci:F as nts <br /> and the improvements located therein. <br /> '8 <br /> 7. The contractor must meet with the Public Works Inspector to discuss corruction and potential drainage routing prio"--ri..o <br /> Loibeginning the project. Call Jim Knappert at 425-339-7404. ?,;.,0 its <br /> Public Works Permit Fee Breakdown: o�'=' „1-` ' c'_':'`='F"'''`,.4 F ,`'"' R <br /> Driveway $25.00 E;t f9 9. 8 n'E`; ss `=' .. <br /> r' <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> 11 ji <br /> :Z1910: i i <br /> City of Everett Official Use Only CITY OF ;s;; w;,; _ 14CIEMENT OF CONDITIONS <br /> The undbArtlifitti Swilerca f.i adit hereby agrees to hold and save <br /> harmless the City of Evere from any and all claims for damages,costs, <br /> c=:/ /z.:/(4,,,,-.4___— expenses,or causes of action that may arise because of installation and <br /> — z f maintenance of the improvement or other right-of-way use here to applied <br /> Appr ved 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 /> FINAL INSPECTION Date ...,i, q'5r'(7 <br /> Approved as Constructed (PW Inspector) Sign. ure 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 /> t..,..‘ <br />