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PUBLIC —ORKS PERMIT =ate Applied: 11/27/2017 <br /> /111 <br /> ' Public Works Permit#: PW1711-033 <br /> ,t City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> �" <br /> ' r _ (425) 257-8810 Public Works Fee: $265 <br /> a, <br /> 01 ukc 2u17 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SMITH KENNETH SMITH KENNETH <br /> 7810 44TH AVE W 7810 44TH AVE W <br /> MUKILTEO, WA, 98275 MUKILTEO, WA, 98275 <br /> PHONE: 4253197841 PHONE: 4253197841 <br /> TAX PARCEL ID#: SITE ADDRESS: 2328 103RD ST SW <br /> DESCRIPTION: RESTORE WETLAND AND BUFFER AREA <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. Restoration work to be done per plans approved by the City of Everett Public Works Department and Planning <br /> Department dated 11/30/2017. Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction for a <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Adherence to the Planning Dept/ Dave Tyler restoration approval memo is required. (see attache i)_^,,_ ?: .c*, <br /> Public Works Permit Fee Breakdown: r..- =. n� -,r <br /> . - . :;rv't cc) F•': <br /> Erosion Control (Commercial) $200.00 .z.: �.�,. <br /> Misc. Minor Permits $25.00 L.°' ='1 ` <br /> PW Plan Review $20.00 'i' <br /> t <br /> PW Site Inspection $20.00 f ? <br /> -.._. <br /> rQ lm : -1 <br /> ri ,,T...I <br /> lib 6.} •wt *—•t <br /> 4n <br /> Planning Department ` #4111 t_ �' :E3.`®; ^ .-' c:: .,.'“-..V..:, <br /> W1 <br /> City of EverettOlfcial•ise Only ACKNOWLEDGEMENT OF CONDITIONS '!Tr::: a <br /> The undersigned owner/applicant hereby agrees to hold ands ve <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> c ii • 30—/ 7 expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Appr ed for onstruction (Public Works) Date for and further agr-es to remove same upon notice from the City and to <br /> replace public pr.6, damaged thereby. <br /> FINAL INSPECTION Date ' 4 24 I- 17 <br /> Approved as Constructed (PW Inspector) Sirc--) A. <br /> ure 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 />