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2 7 OCT 2017 <br /> : PUBLIC ORKS PERMIT Date Applied: 10/9/2017 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1710-009 <br /> 3200 Cedar Street <br /> Parent Permit#: C1706-023 <br /> Everett,WA 98201 Planning Reference#: <br /> ,• (425) 257-8810 Public Works Fee: $90 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ROUMELIOTIS KIRIAKOS ROUMELIOTIS KIRIAKOS <br /> 4420 75TH ST SW 4420 75TH ST SW <br /> MUKILTEO, WA, 98275 MUKILTEO, WA, 98275 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 00598700002003 SITE ADDRESS: 127 BARBARA LN <br /> DESCRIPTION: NEW SINGLE STORY GARAGE <br /> (10/9/2017 10:38 AM BES) <br /> EXISTING CARPORT TO BE REMOVED. <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. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. <br /> 6. Install any erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales, <br /> swales, or erosion blankets. <br /> 7. Connect side sewer per City Standard#'s 601 through 604. <br /> 8. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for pedestrian <br /> travel. <br /> 10. Public Works Construction shall be done per approved plan dated 10/06/2017. (Copy attached) <br /> Public Works Permit Fee Breakdown: D <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> Erosion Control Plans(Other) $50.00 OCT 2 T 2®'j <br /> i CITY <br /> 1146 11 pefmFE,VE,�E <br /> O PO t services <br /> City ofEverett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> r �� harmless the City of Everett from any and all claims for damages,costs, <br /> -"Iv4.11111111.1. II- 0 / 4 -zoo-- expenses,or causes of action that may arise because of installation and <br /> o maintenance of the improvement or other right-of-way use here to applied <br /> Applffirt for Constructiolrublic Works) sate for and further agrees to remove same u.on notice from the City and to <br /> replace public pr, erty dama• , there/ <br /> FINAL INSPECTION Date /1l ' 'eW )0-17-/7 <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 />