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9931 19TH AVE SE 2019-09-18
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9931 19TH AVE SE 2019-09-18
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9/18/2019 7:24:45 AM
Creation date
9/18/2019 7:24:40 AM
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Address Document
Street Name
19TH AVE SE
Street Number
9931
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PUBLICOIORKS PERMIT Nate Applied: 9/28/2018 <br /> opp City of Everett Permit Services Public Works Permit#: PW1809-046 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: B1809-041 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $85.00 <br /> 08NOV LtU18 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> W P I#2 LLC BARTHOL MICHAEL <br /> 6113 DEXTER AVE <br /> EVERETT, WA, 98203 <br /> PHONE: PHONE: 4258702425 <br /> TAX PARCEL ID#: 28051700308800 SITE ADDRESS: 9931 19TH AVE SE <br /> DESCRIPTION: NEW ADA RAMP AND RESTRIPE PARKING LOT <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 10/09/2018. <br /> 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 and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested. See the <br /> attached handout for phone number and online instructions to Request an Inspection. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon <br /> completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Call the inspection line to <br /> request a Final for this permit when all items have been completed. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever <br /> requires use of the right-of-way for municipal purposes. �� <br /> Public Works Permit Fee Breakdown: <br /> 10 . 0 <br /> Paving (151SF) $45.00 <br /> PW Plan Review $20.00 NOV - 8 2018 <br /> PW Site Inspection $20.00 <br /> CITY OF EVERETT <br /> Permit Services <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,l0 09 2a 1st expenses,or causes of action that may arise because of installation and <br /> maintenanc-..f the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and fu - e agre- to remove s. e upon n. : from the City and to <br /> replace p-.li' .ro.- maged t ereby. <br /> ///b/f 6 <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature 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 /> 1GlC- CO e <br />
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