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PUBLI -WORKS PERMIT Date Applied: 5/14/2019 <br /> City of Everett Permit Services Pub orks Permit#: PW1905-050 <br /> EVERETT 3200 Cedar Street, 2 0 Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON ry Public Works Fee: $174.53 <br /> OWNER NAME AND ADDR S: O FINAL APPLICANT NAME AND ADDRESS: 1 A' 2019 <br /> APPROVAL <br /> GREG CONNLLY FEL 10 2020JORDAN REED <br /> 3409 LOMBARD AVE 1206 MADISON PARK DR. <br /> EVERETT,WA,98201 MOUNT VERNON,WA,98273 <br /> ARCHIVED <br /> PHONE: „k. PHONE:3608262354 <br /> TAX PARCEL ID#: SITE ADDRESS:3409 LOMBARD AVE <br /> DESCRIPTION:WALKWAY ALONG THE BUILDING <br /> (5/14/2019 1:07 PM BES) <br /> CONCRETE WALKWAY ALONG THE BUILDING (4FTX 90FT) <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 dated05/14/2019.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. 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 managed <br /> on-site in a manner that does not adversely affect neighboring properties,including the City's right-of-way and/or easements and the <br /> 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 online by <br /> selecting PW 22-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires <br /> use of the right-of-way for municipal purposes. <br /> Public Works Permit Fee Breakdown: 'h <br /> Parking Lot Paving(360 SQFT) $45.00 <br /> PW Plan Review(EST) $20.00 MAY 1 4 2099 <br /> PW Site Inspection(EST) $20.00 <br /> StormwaterSystem Development fee(360 SQFT)....$89.53 <br /> CITY OF EVERETT <br /> Permit Services <br /> City of Everett 0 ;'tial Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> 1IPA) 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 /> .41,P4I,/' e / t(' causes of action that may arise because of installation and maintenance of <br /> Apr-roved for Construction (Arc Works) Dat- the improvement or other right-of-way use here to applied for and further <br /> agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby. <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 EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br />