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iv PUBLIC O RKS PERMIT Date: 4/8/2016 <br /> ,„„ ' Public orks Permit#: PW1604-010 <br /> City of Everett Public Works Department <br /> 7 3200 Cedar Street <br /> Parent Permit#: <br /> - Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EASTIN IVAN L AND KELLI M T EASTIN IVAN L AND KELLI M T <br /> 908 GRAND AVE 908 GRAND AVE <br /> EVERETT WA 98201 EVERETT WA 98201 <br /> PHONE: 4259238598 PHONE: 4259238598 <br /> TAX PARCEL ID# 29051800101800 SITE ADDRESS: 908 GRAND AVE <br /> ADD DRIVEWAY TO SFR <br /> GRAND AVE ADJ THRTO PER CITY <br /> OF EV ORD NO 89 DATED 1-24-1894 <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. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior —i <br /> to starting construction and with other inspection requests. ”"1--..'-` "`" - r <br /> 5. Install erosion control measures per City of Everett Standards for small parcels and t° ? _ -.:.= <br /> : r.�':i CI <br /> remove upon completion of the project prior to final approval of the permit. �, <br /> 6. Keep City streets clean at all times. No dirt, rocks, or debris to be tracked onto r' ' r � . CCA <br /> r— c <br /> roadway. "-% ':1 CD <br /> 7. Protect all existing underground utilities during construction. Upgrade water meter rCr) <br /> a <br /> box to traffic rated if not currently. Reset cleanout rim to grade with traffic rated ring and "i,: <br /> O <br /> cover if not currently. .: i <br /> 8. Pave new driveway to existing roadway paving. ". <br /> 9. New driveway must be a minimum of 5' north of the southern property line, must have C.i i : , Z, <br /> 20'separation from the existing driveway, and max driveway width of both driveways r,a �F <br /> shall not exceed 20' combined. Plans acceptable as shown. §to , ,C‘..71 <br /> „ CC,> ,;- O <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new ° [moi <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect ,_, con <br /> neighboring properties including the Right-of-Way. C <br /> Public Works Permit Fee Breakdown: PI <br /> Asphalt Paving (Driveway, 1555sf) $45.00 <br /> PW Site Inspection $20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> 1 a /�,� �/p- City of Everett from any and all claims for damages,costs,expenses,or <br /> �`✓} �r��” �( / 0 /� causes of action that may arise because of installation and maintenance of the <br /> _ %.. A / /1 <br /> improvement or other right-of-way use hereto applied for and further agrees tO <br /> pproved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. n/I:e5' <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signatu 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 />