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y <br /> loopipo <br /> PUBLIANORKS PERMIT Date Applied: 3/25/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1903-059 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $174.43 <br /> 2 5 MAR ,_019 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ONEILL WILLIAM A ONEILL WILLIAM A <br /> 4909 27TH AVE W 4909 27TH AVE W <br /> EVERETT, WA, 98203-1440 EVERETT, WA, 98203-1440 <br /> PHONE: 2062615996 PHONE: 2062615996 <br /> TAX PARCEL ID#: 00567900100404 SITE ADDRESS: 4909 27TH AVE W <br /> DESCRIPTION: REPLACE EXISTING CONCRETE DRIVEWAY AND WALKWAY <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 03/25/2019. <br /> Approved plans 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 <br /> formally request all required inspections. Flyers are provided at permit issuance with instructions on how to request an <br /> inspection online. <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. Request a final inspection <br /> online by selecting PW 22-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items <br /> have been completed. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner' gin if the City ever <br /> requires use of the right-of-way for municipal purposes. it..)C1 <br /> ,2,0 <br /> Public Works Permit Fee Breakdown: AR 2 z®,g <br /> Paving (440SF) $45.00 <br /> PW Site Inspection $20.00 <br /> Stormwater System Development Fee $109.43 CITY Prur EVERETT <br /> 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, <br /> / / expenses,or causes of action that may arise because of installation and <br /> /► 2 1 maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) ate for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> h/r1) 77)4 <br /> FINAL INSPECTION 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 /> fc..0 col- <br />