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PU BLICSVORKS PERMIT III Date Applied: 11/12/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1911-016 <br /> EVERETT <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $71.22 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: Nov 201 <br /> UNITY CENTER OF POSITIVE LIVING SEATTLE CONCRETE WORKS LLC <br /> 3231 COLBY AVE 605 CENTER RD B104 <br /> EVERETT,WA,98201-4306 EVERETT,WA,98204 <br /> PHONE: PHONE:4253991354 <br /> TAX PARCEL ID#:00439176701400 SITE ADDRESS:3231 COLBY AVE <br /> DESCRIPTION: REPLACE SIDEWALK PANEL <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 11/12/2019.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 approved SWPPP/Plan. Remove upp compytion of <br /> 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, h� "r'-,cri k,; """ " <br /> 8. Protect all existing underground utilities during construction. i ; ?�•.< • a• =' <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced im i•ervious'nrfaces 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 ease ent5.4 d the <br /> improvements located therein. '-`•'" " <br /> •-° <br /> 10.This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspectionroniirfe by <br /> selecting PW 24-Site Final within the Online Permitting Portal Inspection Requests for this permit whert ,ll items have been corpleted. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner's exi5ense if the City ever r.: uires <br /> use of the right-of-way for municipal purposes. a • ,.(-.10 r9 <br /> N:1 _ <br /> Public Works Permit Fee Breakdown: r•4� <br /> Paving(25SF) $45.00 'C' <br /> PW Site Inspection $20.00 <br /> Stormwater System Development Fee $6.22 • <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 /> i it 'y ' /q causes of action that may arise because of installation and maintenance of <br /> a the improvement or other right-of-way use here to applied for and further <br /> Approved for Construction(Public Works) Date agrees to remove same upon notice from the City and to replace public <br /> pro rty darraged ther by. <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 COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION <br /> EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br />