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• <br /> PUBLIC OPORKS PERMIT Date: 4/14/2015 <br /> Public Works Permit#: PW1504-030 <br /> City of Everett Public Works Department <br /> = 3200 Cedar Street Building Permit#; B1504-021 <br /> u;. <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 /> STARK GREG <br /> 1343 MADRONA AVE <br /> EVERETT WA 98203 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00505700003303 SITE ADDRESS: 1343 MADRONA AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY& PW FOR NEW GARAGE <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 /> 'f r'") <br /> 4. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will 15§1 <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City sBight-cai <br /> and/or easements and the improvements located therein. ; i- "' :== >:] r-'1 <br /> CAID <br /> 5. No track-out of dirt and debris to citystreets allowed. Keep streets clean at alftimes d�{ng consruct on. <br /> :... F41 L77 <br /> 6. Provide appropriate erosion control BMP's as necessary during construction. ';'' !, Q <br /> iia <br /> 0.44 in in in <br /> 1 O <br /> t�:1 1-•• O <br /> ..-.{{ <br /> I"•:Y <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs,expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> / , f fd141( /) or other right-of-way use hereto applied for and further agrees <br /> roved for Co struction ate to remove same upon notice from the City and to replace <br /> pp public property damaged thereby. <br /> FINAL INSPECTION Date ����= L.54A+5 <br /> Approved as Constructed Signature A ..;cant 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 />