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PUBL■"UVORKS PERMIT Date Applied: 9/18/2019 <br /> 1116 City of Everett Permit Services PuLJII!tjorks Permit#: PW1909-073 <br /> EVERETT 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference it: <br /> WASHINGTON 425-257-8810 Public Works Fee: $125.93SEP �Q 19 <br /> 18 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FOX DONALD M &TRACY ANN FOX DONALD M&TRACY ANN <br /> 511 COLBY AVE 511 COLBY AVE <br /> EVERETT,WA,98201-1013 EVERETT,WA,98201-1013 <br /> PHONE:4252103446 PHONE:4252103446 <br /> TAX PARCEL ID#:00496911000302 SITE ADDRESS:511 COLBY AVE <br /> DESCRIPTION: REPLACE EXISTING DRIVEWAY AND WALKWAY <br /> PLUS ADD SFT OF DRIVEWAY WIDTH. <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 and <br /> 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 9/18/2019.Approved plans <br /> must remain on job-site at all times. <br /> 5. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br /> request all required inspections. Flyers are provided at permit issuance with instructions on how to request an inspection online. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and per the direction f the PW Inspe r. Rrie <br /> upon 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. rn:+ <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 impervic fi's su 'faces. ill be managed <br /> on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easen ; l the <br /> r_r <br /> improvements located therein. ; <br /> 10.This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Reqa final inspection once by <br /> selecting PW 24-Site Final within the Online Permitting Portal Inspection Reques f thet a items have been coraleted. <br /> C m <br /> Public Works Permit Fee Breakdown: ;5•1:42a <br /> Paving(1,000SF) $45.00 <br /> SEP 18 2019 "' _' 'a <br /> Stormwater System Development Fee....$60.93 ' ?�`'`=' - 7 <br /> - <br /> PW Site Inspection $20.00 <br /> CITY OF EVERETT - <br /> Permit Services <br /> City of Ev r tt Offici.I Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> / / The undersigned owner/applicant hereby agrees to hold and save harmless <br /> ?vgthe City of Everett from any and all claims for damages,costs,expenses,or <br /> .4'1l zeh causes of action that may arise because of installation and maintenance of <br /> Approved for Construction (Public Works) Date the improvement or other right-of-way use here to applied for and further <br /> agrees to remove same upon not ce from the City and to replace public <br /> .rop i y damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed(PW Inspector) Signature of A. ate <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 COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br /> �lLc <br />