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PUBLIVORKS PERMIT <br /> City of Everett Permit Services <br /> Date Applied: 11/21/2018 <br /> Public Works Permit#: PW1811-041 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $90.00 <br /> 3 0 NOV 2018 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MORELAND GARY MORELAND GARY <br /> 1731 WALNUT ST 1731 WALNUT ST <br /> EVERETT, WA, 98201-1901 EVERETT, WA, 98201-1901 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 00556339601500 SITE ADDRESS: 1731 WALNUT ST <br /> DESCRIPTION: NEW CURB CUT DRIVEWAY TO WALNUT <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 11/29/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 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. Call the inspection line to requ t a Final for this permit <br /> when all items have been completed. Za ILO <br /> Public Works Permit Fee Breakdown: <br /> p <br /> Paving (322SF) $45.00 0 <br /> NOv3 <br /> Driveway/Apron (Residential) $25.00 oa <br /> PW Site Inspection $20.00 NOV 3 0 2018 On <br /> ery Ices <br /> CITY OFERE,,, <br /> Permit n,.. <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 /> 9/ZOOS 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 /> Approved for Construction (Public Works) Date for and fu F. er agrees to remove same upon notice from the City and to <br /> replace % 'lic property da ed thereby. <br /> FINAL INSPECTION Date ,�1 &' <br /> Approved as Constructed (PW Inspector) <br /> i •.t - -° A sircant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PE'MIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY S 'IPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br /> ira•E Co PY <br />