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otivige <br /> PUBLIC WORKS PERMIT Date: 7� <br /> 7 Public Works Permit#: PW1607-051 <br /> City of Everett Public Works Department <br /> : - -:ii = 3200 Cedar Street Parent Permit#: BW1607-004 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 85.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BRYSON TRACY BRYSON TRACY <br /> 515 17TH PLACE 515 17TH PLACE <br /> SNOHOMISH WA 98290 SNOHOMISH WA 98290 <br /> PHONE: PHONE: 4255086407 <br /> TAX PARCEL ID# SITE ADDRESS: 2901 EVERETT AVE <br /> PAVE EXISTING GRAVEL PARKING AREA <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 ,;; -°°d; <br /> ;ateca <br /> H-...,-... _-..r <br /> , -b,._,. a--,r..o--• - I <br /> 4. All parking spaces for this development must be paved with asphalt, concrttityperizin,72 2 -' <br /> approved equal. 1 . w <br /> 5. It is the applicant/owner's responsibility to ensure that stormwater runoff from newer) , , H <br /> 1--. m•. <br /> impervious surfaces will be managed on-site in a manner that does not adversely affe 9'r., <br /> neighboring properties, including the City's right-of-way and/or easements and the "'` ' <br /> improvements located therein. 4.� r: 0 <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339;,,403 prior. ,_� h <br /> to starting construction to discuss drainage and with all other inspection reque4' S ,LT1 : y � c 8 <br /> attached to request an inspection s CO K„,,i` a r..� ^,F E, , z. O <br /> —4-a ria <br /> Public Works Permit Fee Breakdown: 1.--47-, <br /> PW Plan Review$20.00 Z <br /> PW Site Inspection $20.00 O <br /> Paving $45.00 a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> 7--/5--/‘ causes of action that may arise because of installation and maintenance of the <br /> 4/&--6V%---- <br /> for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> damaged therebl <br /> FINAL INSPECTION Date _/ <br /> ..-,,mrd:..:.r i'�-- <br /> Approved as Constructed 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 <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ,NY STOPPAg_ 1F WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> ���� '� <br />