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ANp-- _-PUBLIORKS- PERMIT_ Date Applied: 12�27�2018 <br /> City of Everett Permit Services Public Works Permit#: PW1812-060 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: B1811-044 <br /> Everett,WA 98201 Planning Reference#: <br /> 411111114a1- <br /> (425)257-8810 Public Works Fee: $85.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME ANDOADDRESS:PR LU <br /> SKOTDAL BROTHERS LLC COLLAZO MELISSA <br /> 2707 COLBY AVE#1200 <br /> EVERETT, WA, 98201 <br /> PHONE: PHONE: 2064088500 <br /> TAX PARCEL ID#: 28051900402900 SITE ADDRESS: 1803 112TH ST SE <br /> DESCRIPTION: NEW SIDEWALK AND ADA PARKING SPACES OUTSIDE BUILDING <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 12/27/2018. <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 Certific 'S`+ a I the inspection line to <br /> request a Final for this permit when all items have been completed. ' 44 <br /> Public Works Permit Fee Breakdown: APR ®z 2®p� <br /> Paving (1450 SF) $45.00 <br /> PW Plan Review $20.00 CITY <br /> PW Site Inspection $20.00 Per it OFs• TT <br /> er vices <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, <br /> expenses,or causes of action that may arise because of installation and <br /> ,. �0 /Z; 27 �20►g maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> zereplace public property damaged thereby. <br /> Lilz.in <br /> FI► A NS' ON Date <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 /> r1 Le <br />