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PUBLItVORKS PERMIT Date Applied: 4/3/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1804-003 <br /> ' 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $45.00 <br /> .0 3 APR 2018 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> IMMANUEL LUTHERAN CHURCH-EVERETT I J' THOMSEN GLEN, TRUSTEE BOARD <br /> 2521 LOMBARD AVE ' CHAIRMAN <br /> EVERETT, WA, 98201 2521 LOMBARD AVE <br /> EVERETT,WA, 98201 <br /> PHONE: 4252527038 C PHONE: 4252527038 <br /> TAX PARCEL ID#: 00439156600 00 SITE ADDRESS: 2521 LOMBARD AVE <br /> DESCRIPTION: CONSTRU FENCE IN RIGHT-OF-WAY <br /> MAXIMUM HEIGHT ALL, ABLE IS 6FT. <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. The fence shall be no greater than 6 feet in height. <br /> 5. Protect all existing underground utilities during construction. Fence posts shall be at least 2ft away from any underground <br /> utility running perpendicular. Fence shall be no closer than 5ft to the water main along the back of the sidewalk_. Locates <br /> must identify the location of the water main. 1 'i i <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting cbrittuctiall ar(dawith all <br /> other inspection requests. See attached to request an inspection. ,-:,I;F.+,cr=_DF : <br /> 7. This fence constructed within the public right-of-way must be removed or relocated at the owr'stticensOlf the City <br /> ever requires use of the right-of-way for municipal purposes. C) ':.`=' -, '�%: <br /> Public Works Permit Fee Breakdown: '' r:,y..{r'• <br /> Fence in R.O.W $25.00 '`'',' <br /> PW Site Inspection $20.00J <br /> v laF ,:i., <br /> ir" <br /> c_r:r II .r.;g..riFr ..: <br /> •tip: f_... <br /> City of Everett Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> ...j..,pjuitic <br /> imiiiit___ <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> g/3//43, 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 pros damaged -reby. <br /> zj 3,-- rs' <br /> FINAL INSPECTION Date - ' c <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 />