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I <br /> PUBLIC IORKS PERMIT Date: 1/13/2016 <br /> Works Permit#: PWI601-013 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1510-016 <br /> Everett, WA 98201 Planning Reference#: SEPA15-007 <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KULAGA AHMET& SEVALA KULAGA AHMET <br /> 1205 130TH ST S E 1205 130th St SE#A <br /> EVERETT WA 98208 EVERETT WA 98208 <br /> PHONE: PHONE: 4255016441 <br /> TAX PARCEL ID# 00393200102400 SITE ADDRESS: 5723 HIGHWAY PL <br /> PW FOR NEW TOWNHOUSE-UNIT 9 OF 9 <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 12/29/2015. w <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with all other inspection requests. See attached to request E. <br /> an inspection. H <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. Keep City streets clean at CA <br /> all times. PP <br /> Public Works Permit Fee Breakdown: O <br /> Driveway$25.00 h <br /> PW Plan Review$20.00 Z <br /> PW Slte Inspection$20.00 <br /> CA <br /> APR 15 2016 i <br /> CITY OF EVERETT a <br /> Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> _;� The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> ��_ I City of Everett from any and all claims for damages,costs,expenses,or <br /> �� ��/ •J‘ causes of action that may arise because of installation and maintenance of the <br /> �� ���`� improvement or other right-of-way use hereto applied for and further agrees to <br /> ,.p • ed for Construe D=te remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date / /. . ? i/J ,� <br /> Approved as Constructed Sig 're 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 />