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0 l SEP 2017 <br /> PUBLIC*ORKS PERMIT Date Applied: 8/25/2017 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1708-055 <br /> 3200 Cedar Street Parent Permit it <br /> Everett,WA 98201 Planning Reference#: <br /> "' (425) 257-8810 Public Works Fee: $90 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> THUVAN BUI THUVAN BUI <br /> 113TH ST SE 113TH ST SE <br /> EVERETT, WA, 98208 EVERETT, WA, 98208 <br /> PHONE: 4253442207 PHONE: 4253442207 <br /> TAX PARCEL ID#: SITE ADDRESS: 11316 2ND AVE SE <br /> DESCRIPTION: DRIVEWAY URB CUT <br /> (8/25/2017 2:39 PM BES) <br /> CONSTRUCTRUCT A DRIVEWAY BY REMOVING A CURB AND SIDEWALK <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. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 08/22011 <br /> Approved plans must remain on job-site at all times. +— r a <br /> Fl "ar -a <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior f startyr rrucn. <br /> 7,4 Cr3 �• <br /> > <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> C.73 I <br /> 7. Protect all existing underground utilities during construction. <br /> r•a <br /> 8. Construct the driveway, curb, gutter, and sidewalk as per City of Everett Standard Plan#V15. <br /> Public Works Permit Fee Breakdown: ® <br /> 0 etc-.>'04 V, C>av <br /> Driveway/Concrete Apron/Cut Residensial...$25.00 4�!�, ; <br /> Misc. Minor Permits $25.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> ® 9/Q �/9expenses,or causes of action that may arise because of installation and <br /> Qs — maintenance of the improvement or other right-of-way use here to applied <br /> Ap• • -d for Constructio blic 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 f'�'� <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 />