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LE PUBLIC WORKS PERMIT <br /> !irate Applied: 10/16/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1910-035 <br /> EVERETT 3200 Cedar Street, 2 0 Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $462.92 <br /> OWNER NAME AND ADDRESS: 6 {! 1 4u 1S <br /> APPLICANT NAME AND ADDRESS: <br /> YANG PAN <br /> 3014 46TH PL SE <br /> EVERETT,WA,98203 <br /> PHONE:4256166480 <br /> TAX PARCEL ID#: SITE ADDRESS:3014 46TH PL SE <br /> DESCRIPTION: PAVE CONCRETE PATIO IN BACKYARD AND WALKWAYS <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 10/16/2019.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 of the PW InspectopiRenuivisi <br /> upon completion of the project prior to final approval of the permit. I ,_.,..... ;» C.7) <br /> 7. Keep City streets clean at all times. No dirt,mud, rocks,or debris to be tracked onto roadway. _,,, , -° <br /> C.)F- - .x+ 7.r- <br /> 8. Protect all existing underground utilities during construction. r•N• <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impWvious sfikes vfl be managed <br /> on-site in a manner that does not adversely affect neighboring properties,including the City's right-of-way and/or easeants:Anid the <br /> improvements located therein. '" i ' <br /> 10. Pavement shall comply with Home Owner's Association. It is the owner's responsibility to ensure compliance and approvalt9br to <br /> starting work. <br /> 11.This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Reque54a final inspection onlirj by <br /> selecting PW 24-Site Final within the Online Permitting Portal Inspection Requests for this permit wheOilitemhAye been competed. <br /> Public Works Permit Fee Breakdown: r; s e._ <br /> IN3-c <br /> Paving(1600SF) $45.00 —4 <br /> PW Site Inspection $20.00 •-•c-'' <br /> Stormwater System Development Fee(1600sf) $397.92 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> f/.6r ,/7 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 se here to applied for and further <br /> agrees to remove same upon noti • the City and to replace public <br /> property.amaged thereby. <br /> FINAL INSPECTION Date awcC(l '.4 •• J /4 0/'r <br /> Approved as Constructed(PW Inspector) Sig :ture of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TH o REA ' R 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 H'EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br /> rite <br />